- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $26,915.35 / $52,480.75
| Facility | | $10,715.19 | $26,915.35 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $44,668.36 / $54,954.09
| Facility | | $29,512.09 | $44,668.36 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $32,359.37 / $44,668.36
| Facility | | $15,488.17 | $32,359.37 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,113.11 / $83,176.38
| Facility | | $18,620.87 | $33,113.11 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $22,387.21 / $44,668.36
| Facility | | $7,585.78 | $22,387.21 | $44,668.36 |