- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $38,018.94 / $77,624.71
| Facility | | $15,135.61 | $38,018.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $48,977.88 / $63,095.73
| Facility | | $31,622.78 | $48,977.88 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $43,651.58 / $109,647.82
| Facility | | $24,547.09 | $43,651.58 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $16,595.87 / $18,620.87
| Facility | | $15,848.93 | $16,595.87 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $38,904.51 / $67,608.30
| Facility | | $9,332.54 | $38,904.51 | $67,608.30 |