- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,442.29 / $53,703.18
| Facility | | $15,488.17 | $23,442.29 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $67,608.30 / $104,712.85
| Facility | | $46,773.51 | $67,608.30 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,302.68 / $35,481.34
| Facility | | $16,218.10 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $77,624.71 / $77,624.71
| Facility | | $77,624.71 | $77,624.71 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $26,915.35 / $40,738.03
| Facility | | $3,801.89 | $26,915.35 | $40,738.03 |