- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $32,359.37 / $41,686.94
| Facility | | $28,840.32 | $32,359.37 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $39,810.72 / $64,565.42
| Facility | | $30,199.52 | $39,810.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $35,481.34 / $48,977.88
| Facility | | $17,782.79 | $35,481.34 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $36,307.81 / $51,286.14
| Facility | | $17,782.79 | $36,307.81 | $51,286.14 |