- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,803.40 / $25,845.30 / $43,637.20
| Facility | | $11,803.40 | $25,845.30 | $43,637.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,899.26 / $47,336.30 / $61,380.61
| Facility | | $31,899.26 | $47,336.30 | $61,380.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,764.95 / $36,842.87 / $54,083.28
| Facility | | $25,764.95 | $36,842.87 | $54,083.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,959.34 / $36,430.82 / $76,396.58
| Facility | | $18,959.34 | $36,430.82 | $76,396.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,764.95 / $40,113.06 / $54,381.44
| Facility | | $25,764.95 | $40,113.06 | $54,381.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,464.47 / $33,925.36 / $51,000.78
| Facility | | $7,464.47 | $33,925.36 | $51,000.78 |