- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,218.10 / $44,668.36
| Facility | | $10,471.29 | $16,218.10 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,118.86 / $38,904.51
| Facility | | $17,378.01 | $25,118.86 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,877.62 / $29,512.09
| Facility | | $13,803.84 | $21,877.62 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $64,565.42 / $64,565.42
| Facility | | $64,565.42 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $23,442.29 / $77,624.71
| Facility | | $3,162.28 | $23,442.29 | $77,624.71 |