- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $74,131.02
| Facility | | $22,908.68 | $33,113.11 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $14,791.08 / $14,791.08
| Facility | | $14,791.08 | $14,791.08 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,498.45 / $37,153.52
| Facility | | $11,748.98 | $19,498.45 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $33,113.11 / $46,773.51
| Facility | | $15,488.17 | $33,113.11 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $51,286.14 / $77,624.71
| Facility | | $6,918.31 | $51,286.14 | $77,624.71 |