- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $16,982.44 / $37,153.52
| Facility | | $12,589.25 | $16,982.44 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $2,630.27 / $2,630.27
| Facility | | $2,630.27 | $2,630.27 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $35,481.34 / $56,234.13
| Facility | | $25,118.86 | $35,481.34 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,620.87 / $24,547.09
| Facility | | $11,748.98 | $18,620.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $19,952.62 / $28,840.32
| Facility | | $3,801.89 | $19,952.62 | $28,840.32 |