- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,015.59 / $38,906.10 / $62,643.80
| Facility | | $17,015.59 | $38,906.10 | $62,643.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $53,031.14
| Facility | | $1,474.01 | $6,242.69 | $53,031.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,163.04 / $40,678.87 / $57,626.51
| Facility | | $28,163.04 | $40,678.87 | $57,626.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,617.59 / $34,118.49 / $71,653.03
| Facility | | $24,617.59 | $34,118.49 | $71,653.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,113.36 / $34,118.49 / $72,578.22
| Facility | | $23,113.36 | $34,118.49 | $72,578.22 |