- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,404.90 / $28,636.40 / $47,569.10
| Facility | | $11,404.90 | $28,636.40 | $47,569.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,211.46 / $49,283.52 / $63,905.55
| Facility | | $33,211.46 | $49,283.52 | $63,905.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,547.44 / $40,821.73 / $59,924.01
| Facility | | $28,547.44 | $40,821.73 | $59,924.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,006.85 / $40,365.17 / $84,647.04
| Facility | | $21,006.85 | $40,365.17 | $84,647.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,633.15 / $17,633.15 / $17,633.15
| Facility | | $17,633.15 | $17,633.15 | $17,633.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,547.44 / $44,445.08 / $60,254.38
| Facility | | $28,547.44 | $44,445.08 | $60,254.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,270.60 / $36,624.33 / $56,508.61
| Facility | | $8,270.60 | $36,624.33 | $56,508.61 |