- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,683.80 / $32,098.80 / $51,385.30
| Facility | | $20,683.80 | $32,098.80 | $51,385.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,785.19 / $36,785.19 / $36,785.19
| Facility | | $36,785.19 | $36,785.19 | $36,785.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,311.71 / $23,950.34 / $33,988.26
| Facility | | $12,311.71 | $23,950.34 | $33,988.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,113.29 / $25,606.18 / $44,865.43
| Facility | | $19,113.29 | $25,606.18 | $44,865.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,767.70 / $28,999.25 / $38,859.85
| Facility | | $18,767.70 | $28,999.25 | $38,859.85 |