- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,498.45 / $52,480.75
| Facility | | $12,302.69 | $19,498.45 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $43,651.58 / $67,608.30
| Facility | | $30,199.52 | $43,651.58 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,703.96 / $34,673.69
| Facility | | $16,595.87 | $25,703.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $26,915.35 / $40,738.03
| Facility | | $2,951.21 | $26,915.35 | $40,738.03 |