- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,302.68 / $70,794.58
| Facility | | $16,982.44 | $26,302.68 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $37,153.52 / $58,884.37
| Facility | | $25,703.96 | $37,153.52 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $35,481.34 / $46,773.51
| Facility | | $21,877.62 | $35,481.34 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $102,329.30 / $102,329.30
| Facility | | $102,329.30 | $102,329.30 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $36,307.81 / $56,234.13
| Facility | | $2,951.21 | $36,307.81 | $56,234.13 |