- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,908.68 / $63,095.73
| Facility | | $14,791.08 | $22,908.68 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,884.42 / $53,703.18
| Facility | | $23,442.29 | $33,884.42 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,902.95 / $41,686.94
| Facility | | $19,952.62 | $30,902.95 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $131,825.67 / $131,825.67
| Facility | | $91,201.08 | $131,825.67 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $35,481.34 / $72,443.60
| Facility | | $3,801.89 | $35,481.34 | $72,443.60 |