- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,149.30 / $24,413.10 / $41,219.10
| Facility | | $11,149.30 | $24,413.10 | $41,219.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,058.09 / $43,120.20 / $55,913.63
| Facility | | $29,058.09 | $43,120.20 | $55,913.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,337.23 / $34,801.30 / $51,086.35
| Facility | | $24,337.23 | $34,801.30 | $51,086.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,908.74 / $34,412.07 / $72,163.20
| Facility | | $17,908.74 | $34,412.07 | $72,163.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,337.23 / $37,890.26 / $51,367.99
| Facility | | $24,337.23 | $37,890.26 | $51,367.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,050.84 / $32,045.44 / $48,174.66
| Facility | | $7,050.84 | $32,045.44 | $48,174.66 |