- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,704.70 / $25,629.20 / $43,272.40
| Facility | | $11,704.70 | $25,629.20 | $43,272.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,469.13 / $40,762.29 / $52,856.15
| Facility | | $27,469.13 | $40,762.29 | $52,856.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,549.58 / $36,534.90 / $53,631.19
| Facility | | $25,549.58 | $36,534.90 | $53,631.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,800.84 / $36,126.29 / $75,757.97
| Facility | | $18,800.84 | $36,126.29 | $75,757.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,549.58 / $39,777.75 / $53,926.86
| Facility | | $25,549.58 | $39,777.75 | $53,926.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,402.07 / $33,641.76 / $50,574.45
| Facility | | $7,402.07 | $33,641.76 | $50,574.45 |