- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,884.42 / $77,624.71
| Facility | | $23,442.29 | $33,884.42 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $24,547.09 / $35,481.34
| Facility | | $14,454.40 | $24,547.09 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $21,379.62 / $51,286.14
| Facility | | $13,182.57 | $21,379.62 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $47,863.01
| Facility | | $26,915.35 | $37,153.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $52,480.75 / $79,432.82
| Facility | | $6,918.31 | $52,480.75 | $79,432.82 |