- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,018.94 / $87,096.36
| Facility | | $26,915.35 | $38,018.94 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $54,954.09
| Facility | | $54,954.09 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,113.11 / $60,255.96
| Facility | | $21,379.62 | $33,113.11 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $38,904.51 / $54,954.09
| Facility | | $15,488.17 | $38,904.51 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $56,234.13 / $89,125.09
| Facility | | $33,113.11 | $56,234.13 | $89,125.09 |