- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $43,651.58 / $58,884.37
| Facility | | $16,982.44 | $43,651.58 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $47,863.01
| Facility | | $47,863.01 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $43,651.58 / $50,118.72
| Facility | | $31,622.78 | $43,651.58 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $46,773.51 / $64,565.42
| Facility | | $37,153.52 | $46,773.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $53,703.18 / $72,443.60
| Facility | | $2,041.74 | $53,703.18 | $72,443.60 |