- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $24,547.09 / $37,153.52
| Facility | | $8,912.51 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $7,585.78 / $10,964.78
| Facility | | $7,413.10 | $7,585.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $12,022.64 / $28,183.83
| Facility | | $6,165.95 | $12,022.64 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $37,153.52 / $47,863.01
| Facility | | $14,454.40 | $37,153.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $20,892.96 / $51,286.14
| Facility | | $7,585.78 | $20,892.96 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |