- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $35,481.34 / $77,624.71
| Facility | | $27,542.29 | $35,481.34 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $11,220.18 / $11,220.18
| Facility | | $11,220.18 | $11,220.18 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $32,359.37 / $53,703.18
| Facility | | $13,489.63 | $32,359.37 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $38,018.94 / $40,738.03
| Facility | | $30,902.95 | $38,018.94 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $36,307.81 / $54,954.09
| Facility | | $28,183.83 | $36,307.81 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $33,113.11 / $79,432.82
| Facility | | $17,378.01 | $33,113.11 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,902.95 / $46,773.51
| Facility | | $19,952.62 | $30,902.95 | $46,773.51 |