- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,442.29 / $64,565.42
| Facility | | $15,135.61 | $23,442.29 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,840.32 / $44,668.36
| Facility | | $19,952.62 | $28,840.32 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $31,622.78 / $41,686.94
| Facility | | $20,417.38 | $31,622.78 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $93,325.43 / $93,325.43
| Facility | | $93,325.43 | $93,325.43 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $32,359.37 / $50,118.72
| Facility | | $2,951.21 | $32,359.37 | $50,118.72 |