- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,648.09 / $29,851.90 / $58,368.40
| Facility | | $19,648.09 | $29,851.90 | $58,368.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,466.70 / $18,551.57 / $30,265.98
| Facility | | $12,466.70 | $18,551.57 | $30,265.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,873.06 / $30,067.11 / $41,254.75
| Facility | | $17,873.06 | $30,067.11 | $41,254.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,799.90 / $59,799.90 / $70,180.25
| Facility | | $59,799.90 | $59,799.90 | $70,180.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $28,906.77 / $41,290.01
| Facility | | $1,787.00 | $28,906.77 | $41,290.01 |