- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $17,782.79 / $47,863.01
| Facility | | $11,481.54 | $17,782.79 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $23,442.29 / $37,153.52
| Facility | | $16,595.87 | $23,442.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,442.29 / $31,622.78
| Facility | | $15,135.61 | $23,442.29 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $69,183.10 / $69,183.10
| Facility | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $27,542.29 / $47,863.01
| Facility | | $3,801.89 | $27,542.29 | $47,863.01 |