- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $27,542.29 / $81,283.05
| Facility | | $19,054.61 | $27,542.29 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $51,286.14
| Facility | | $44,668.36 | $44,668.36 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,884.42 / $52,480.75
| Facility | | $23,442.29 | $33,884.42 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $39,810.72 / $53,703.18
| Facility | | $24,547.09 | $39,810.72 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $117,489.76 / $117,489.76
| Facility | | $117,489.76 | $117,489.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $36,307.81 / $61,659.50
| Facility | | $3,801.89 | $36,307.81 | $61,659.50 |