- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $42,657.95 / $74,131.02
| Facility | | $22,387.21 | $42,657.95 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $34,673.69 / $56,234.13
| Facility | | $22,387.21 | $34,673.69 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $32,359.37 / $61,659.50
| Facility | | $16,982.44 | $32,359.37 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $42,657.95 / $63,095.73
| Facility | | $26,915.35 | $42,657.95 | $63,095.73 |