- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,837.30 / $29,434.20 / $59,818.10
| Facility | | $22,837.30 | $29,434.20 | $59,818.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,697.35 / $21,697.35 / $34,931.83
| Facility | | $21,697.35 | $21,697.35 | $34,931.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,446.65 / $28,137.35 / $32,168.26
| Facility | | $22,446.65 | $28,137.35 | $32,168.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,229.07 / $32,267.36 / $41,965.10
| Facility | | $18,229.07 | $32,267.36 | $41,965.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $29,319.48 / $41,219.36
| Facility | | $1,518.00 | $29,319.48 | $41,219.36 |