- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,803.84 / $38,018.94
| Facility | | $8,912.51 | $13,803.84 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $17,378.01 / $27,542.29
| Facility | | $12,022.64 | $17,378.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,620.87 / $25,118.86
| Facility | | $11,748.98 | $18,620.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $20,417.38 / $29,512.09
| Facility | | $3,801.89 | $20,417.38 | $29,512.09 |