- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $32,359.37 / $66,069.34
| Facility | | $16,595.87 | $32,359.37 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $26,302.68
| Facility | | $26,302.68 | $26,302.68 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $35,481.34 / $44,668.36
| Facility | | $22,387.21 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $70,794.58
| Facility | | $24,547.09 | $41,686.94 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $35,481.34 / $50,118.72
| Facility | | $22,908.68 | $35,481.34 | $50,118.72 |