- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,199.52 / $77,624.71
| Facility | | $18,620.87 | $30,199.52 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $8,128.31 / $42,657.95
| Facility | | $8,128.31 | $8,128.31 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $41,686.94 / $64,565.42
| Facility | | $28,840.32 | $41,686.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $51,286.14
| Facility | | $24,547.09 | $38,018.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $40,738.03 / $61,659.50
| Facility | | $3,162.28 | $40,738.03 | $61,659.50 |