- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $37,153.52 / $50,118.72
| Facility | | $19,498.45 | $37,153.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $47,863.01
| Facility | | $19,054.61 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $39,810.72 / $53,703.18
| Facility | | $19,054.61 | $39,810.72 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $28,840.32 / $58,884.37
| Facility | | $7,079.46 | $28,840.32 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $28,183.83 / $56,234.13
| Facility | | $6,456.54 | $28,183.83 | $56,234.13 |