- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $50,118.72 / $107,151.93
| Facility | | $19,952.62 | $50,118.72 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $51,286.14
| Facility | | $22,908.68 | $33,113.11 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $29,512.09 / $38,904.51
| Facility | | $18,620.87 | $29,512.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $87,096.36 / $87,096.36
| Facility | | $87,096.36 | $87,096.36 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $31,622.78 / $45,708.82
| Facility | | $3,801.89 | $31,622.78 | $45,708.82 |