- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $72,443.60
| Facility | | $17,378.01 | $26,915.35 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $23,988.33
| Facility | | $23,988.33 | $23,988.33 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $35,481.34 / $54,954.09
| Facility | | $24,547.09 | $35,481.34 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $35,481.34 / $47,863.01
| Facility | | $21,877.62 | $35,481.34 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $37,153.52 / $57,543.99
| Facility | | $2,951.21 | $37,153.52 | $57,543.99 |