- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $39,810.72 / $75,857.76
| Facility | | $25,703.96 | $39,810.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $38,018.94 / $40,738.03
| Facility | | $11,220.18 | $38,018.94 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,884.42 / $54,954.09
| Facility | | $22,387.21 | $33,884.42 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $22,908.68 / $53,703.18
| Facility | | $7,244.36 | $22,908.68 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $38,904.51 / $52,480.75
| Facility | | $19,952.62 | $38,904.51 | $52,480.75 |