- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,207.60 / $26,848.50 / $45,131.60
| Facility | | $12,207.60 | $26,848.50 | $45,131.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,605.63 / $41,195.71 / $58,981.26
| Facility | | $27,605.63 | $41,195.71 | $58,981.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,647.29 / $38,104.58 / $55,935.40
| Facility | | $26,647.29 | $38,104.58 | $55,935.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,608.61 / $37,678.42 / $79,012.83
| Facility | | $19,608.61 | $37,678.42 | $79,012.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,647.29 / $41,486.76 / $56,243.77
| Facility | | $26,647.29 | $41,486.76 | $56,243.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,720.09 / $35,087.15 / $52,747.33
| Facility | | $7,720.09 | $35,087.15 | $52,747.33 |