- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $64,565.42
| Facility | | $21,877.62 | $33,884.42 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $30,902.95 / $32,359.37
| Facility | | $15,848.93 | $30,902.95 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,840.32 / $46,773.51
| Facility | | $18,620.87 | $28,840.32 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $23,988.33 / $46,773.51
| Facility | | $9,549.93 | $23,988.33 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,113.11 / $44,668.36
| Facility | | $17,782.79 | $33,113.11 | $44,668.36 |