- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,913.20 / $26,085.70 / $44,043.10
| Facility | | $11,913.20 | $26,085.70 | $44,043.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,461.86 / $46,687.23 / $60,538.96
| Facility | | $31,461.86 | $46,687.23 | $60,538.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,004.64 / $37,185.62 / $54,586.41
| Facility | | $26,004.64 | $37,185.62 | $54,586.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,135.71 / $36,769.73 / $77,107.30
| Facility | | $19,135.71 | $36,769.73 | $77,107.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,004.64 / $40,486.23 / $54,887.35
| Facility | | $26,004.64 | $40,486.23 | $54,887.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,533.91 / $34,240.96 / $60,062.00
| Facility | | $7,533.91 | $34,240.96 | $60,062.00 |