- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,325.20 / $39,376.80 / $69,291.89
| Facility | | $23,325.20 | $39,376.80 | $69,291.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,860.84 / $24,011.63 / $39,606.76
| Facility | | $16,860.84 | $24,011.63 | $39,606.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,217.94 / $35,694.07 / $48,975.43
| Facility | | $21,217.94 | $35,694.07 | $48,975.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,134.89 / $70,134.89 / $82,309.25
| Facility | | $70,134.89 | $70,134.89 | $82,309.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $32,089.28 / $48,754.93
| Facility | | $2,520.00 | $32,089.28 | $48,754.93 |