- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $20,892.96 / $26,915.35
| Facility | | $18,197.01 | $20,892.96 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $20,892.96 / $36,307.81
| Facility | | $8,317.64 | $20,892.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,118.86 / $34,673.69
| Facility | | $18,620.87 | $25,118.86 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $22,908.68 / $38,904.51
| Facility | | $11,481.54 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,379.62 / $33,113.11
| Facility | | $13,803.84 | $21,379.62 | $33,113.11 |