- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $33,113.11 / $66,069.34
| Facility | | $11,481.54 | $33,113.11 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $50,118.72 / $63,095.73
| Facility | | $33,884.42 | $50,118.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $36,307.81 / $51,286.14
| Facility | | $15,488.17 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,018.94 / $95,499.26
| Facility | | $21,379.62 | $38,018.94 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $14,791.08 / $15,135.61
| Facility | | $14,791.08 | $14,791.08 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $25,118.86 / $51,286.14
| Facility | | $8,317.64 | $25,118.86 | $51,286.14 |