- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $30,199.52 / $58,884.37
| Facility | | $11,220.18 | $30,199.52 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $48,977.88 / $61,659.50
| Facility | | $33,113.11 | $48,977.88 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $36,307.81 / $50,118.72
| Facility | | $15,488.17 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $37,153.52 / $93,325.43
| Facility | | $20,892.96 | $37,153.52 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $24,547.09 / $50,118.72
| Facility | | $8,317.64 | $24,547.09 | $50,118.72 |