- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,445.20 / $22,871.20 / $38,615.69
| Facility | | $10,445.20 | $22,871.20 | $38,615.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,546.67 / $36,425.57 / $47,232.76
| Facility | | $24,546.67 | $36,425.57 | $47,232.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,800.09 / $32,603.24 / $47,859.73
| Facility | | $22,800.09 | $32,603.24 | $47,859.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,777.62 / $32,238.60 / $67,605.36
| Facility | | $16,777.62 | $32,238.60 | $67,605.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,800.09 / $35,497.11 / $48,123.58
| Facility | | $22,800.09 | $35,497.11 | $48,123.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,605.51 / $30,021.45 / $45,131.94
| Facility | | $6,605.51 | $30,021.45 | $45,131.94 |