- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,595.87 / $45,708.82
| Facility | | $10,715.19 | $16,595.87 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,840.32 / $44,668.36
| Facility | | $19,952.62 | $28,840.32 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,387.21 / $30,199.52
| Facility | | $14,454.40 | $22,387.21 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $66,069.34 / $66,069.34
| Facility | | $66,069.34 | $66,069.34 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $22,908.68 / $35,481.34
| Facility | | $2,951.21 | $22,908.68 | $35,481.34 |