- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $31,622.78 / $72,443.60
| Facility | | $21,877.62 | $31,622.78 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $39,810.72
| Facility | | $39,810.72 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $19,054.61 / $34,673.69
| Facility | | $9,549.93 | $19,054.61 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $32,359.37 / $44,668.36
| Facility | | $12,022.64 | $32,359.37 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $48,977.88 / $74,131.02
| Facility | | $6,918.31 | $48,977.88 | $74,131.02 |