- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $30,199.52 / $69,183.10
| Facility | | $20,892.96 | $30,199.52 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $23,442.29 / $41,686.94
| Facility | | $11,748.98 | $23,442.29 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $30,199.52 / $42,657.95
| Facility | | $15,488.17 | $30,199.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $46,773.51 / $70,794.58
| Facility | | $25,703.96 | $46,773.51 | $70,794.58 |