- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $27,542.29 / $74,131.02
| Facility | | $17,782.79 | $27,542.29 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $45,708.82 / $70,794.58
| Facility | | $31,622.78 | $45,708.82 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $37,153.52 / $48,977.88
| Facility | | $23,442.29 | $37,153.52 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $109,647.82 / $109,647.82
| Facility | | $109,647.82 | $109,647.82 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $38,018.94 / $58,884.37
| Facility | | $2,951.21 | $38,018.94 | $58,884.37 |