- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,840.32 / $66,069.34
| Facility | | $19,952.62 | $28,840.32 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $24,547.09 / $24,547.09
| Facility | | $24,547.09 | $24,547.09 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $20,892.96 / $38,018.94
| Facility | | $10,715.19 | $20,892.96 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $29,512.09 / $40,738.03
| Facility | | $15,488.17 | $29,512.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $44,668.36 / $67,608.30
| Facility | | $6,918.31 | $44,668.36 | $67,608.30 |