- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $28,840.32 / $38,018.94
| Facility | | $11,220.18 | $28,840.32 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,113.11 / $37,153.52
| Facility | | $23,988.33 | $33,113.11 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,199.52 / $45,708.82
| Facility | | $24,547.09 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $36,307.81 / $51,286.14
| Facility | | $2,398.83 | $36,307.81 | $51,286.14 |