- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $24,547.09 / $48,977.88
| Facility | | $10,471.29 | $24,547.09 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $41,686.94 / $52,480.75
| Facility | | $28,183.83 | $41,686.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $30,199.52 / $42,657.95
| Facility | | $15,488.17 | $30,199.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $31,622.78 / $79,432.82
| Facility | | $17,378.01 | $31,622.78 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,302.69 / $12,302.69
| Facility | | $12,302.69 | $12,302.69 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $20,892.96 / $41,686.94
| Facility | | $8,317.64 | $20,892.96 | $41,686.94 |