- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $64,565.42
| Facility | | $19,952.62 | $28,183.83 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $23,988.33
| Facility | | $23,988.33 | $23,988.33 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $25,118.86 / $44,668.36
| Facility | | $14,791.08 | $25,118.86 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,113.11 / $47,863.01
| Facility | | $23,442.29 | $33,113.11 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $38,018.94 / $66,069.34
| Facility | | $13,489.63 | $38,018.94 | $66,069.34 |