- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,386.90 / $41,007.30 / $58,061.90
| Facility | | $22,386.90 | $41,007.30 | $58,061.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,091.83 / $35,091.83 / $37,402.41
| Facility | | $35,091.83 | $35,091.83 | $37,402.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,572.07 / $39,466.07 / $61,661.39
| Facility | | $24,572.07 | $39,466.07 | $61,661.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,275.56 / $35,287.16 / $65,630.03
| Facility | | $23,275.56 | $35,287.16 | $65,630.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $33,187.28 / $71,639.46
| Facility | | $7,117.00 | $33,187.28 | $71,639.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,126.35 / $28,953.39 / $65,079.91
| Facility | | $5,126.35 | $28,953.39 | $65,079.91 |