- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,396.20 / $35,901.80 / $60,616.70
| Facility | | $16,396.20 | $35,901.80 | $60,616.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,677.03 / $57,394.04 / $74,422.41
| Facility | | $38,677.03 | $57,394.04 | $74,422.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,790.25 / $51,178.67 / $75,127.42
| Facility | | $35,790.25 | $51,178.67 | $75,127.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,336.53 / $50,606.28 / $106,122.96
| Facility | | $26,336.53 | $50,606.28 | $106,122.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,790.25 / $55,721.30 / $75,541.60
| Facility | | $35,790.25 | $55,721.30 | $75,541.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $45,916.35 / $70,845.49
| Facility | | $9,114.00 | $45,916.35 | $70,845.49 |