- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,542.20 / $38,054.90 / $66,965.70
| Facility | | $22,542.20 | $38,054.90 | $66,965.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,611.78 / $60,498.47 / $98,595.05
| Facility | | $40,611.78 | $60,498.47 | $98,595.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,505.63 / $35,077.33 / $47,331.28
| Facility | | $20,505.63 | $35,077.33 | $47,331.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,967.90 / $69,337.25 / $81,373.14
| Facility | | $32,967.90 | $69,337.25 | $81,373.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $33,164.53 / $47,371.74
| Facility | | $1,787.00 | $33,164.53 | $47,371.74 |