- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $83,176.38
| Facility | | $25,118.86 | $36,307.81 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,915.35 / $54,954.09
| Facility | | $16,595.87 | $26,915.35 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $37,153.52 / $61,659.50
| Facility | | $15,488.17 | $37,153.52 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $53,703.18 / $85,113.80
| Facility | | $26,915.35 | $53,703.18 | $85,113.80 |