- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,317.40 / $29,560.20 / $48,047.80
| Facility | | $17,317.40 | $29,560.20 | $48,047.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,853.62 / $21,853.62 / $21,853.62
| Facility | | $21,853.62 | $21,853.62 | $21,853.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,794.29 / $23,487.05 / $37,053.08
| Facility | | $14,794.29 | $23,487.05 | $37,053.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,513.37 / $33,106.19 / $74,373.56
| Facility | | $15,513.37 | $33,106.19 | $74,373.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,311.77 / $26,727.86 / $35,580.89
| Facility | | $17,311.77 | $26,727.86 | $35,580.89 |