- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,695.09 / $29,872.30 / $52,566.60
| Facility | | $17,695.09 | $29,872.30 | $52,566.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,880.49 / $40,849.94 / $66,451.60
| Facility | | $28,880.49 | $40,849.94 | $66,451.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,096.47 / $27,078.43 / $37,154.01
| Facility | | $16,096.47 | $27,078.43 | $37,154.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,793.65 / $60,793.65 / $71,346.50
| Facility | | $60,793.65 | $60,793.65 | $71,346.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $26,033.43 / $37,185.78
| Facility | | $1,787.00 | $26,033.43 | $37,185.78 |