- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,595.87 / $44,668.36
| Facility | | $10,471.29 | $16,595.87 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $23,988.33
| Facility | | $23,988.33 | $23,988.33 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $11,748.98 / $18,197.01
| Facility | | $8,128.31 | $11,748.98 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,387.21 / $29,512.09
| Facility | | $13,489.63 | $22,387.21 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $64,565.42 / $64,565.42
| Facility | | $64,565.42 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $22,908.68 / $35,481.34
| Facility | | $2,951.21 | $22,908.68 | $35,481.34 |