- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $28,183.83 / $52,480.75
| Facility | | $10,715.19 | $28,183.83 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $44,668.36 / $56,234.13
| Facility | | $30,199.52 | $44,668.36 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $48,977.88
| Facility | | $23,988.33 | $38,018.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,884.42 / $85,113.80
| Facility | | $18,620.87 | $33,884.42 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $29,512.09 / $46,773.51
| Facility | | $9,332.54 | $29,512.09 | $46,773.51 |