- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $40,738.03 / $93,325.43
| Facility | | $28,183.83 | $40,738.03 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $29,512.09 / $53,703.18
| Facility | | $18,620.87 | $29,512.09 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $40,738.03 / $57,543.99
| Facility | | $15,488.17 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $63,095.73 / $95,499.26
| Facility | | $32,359.37 | $63,095.73 | $95,499.26 |