- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $36,307.81 / $67,608.30
| Facility | | $13,803.84 | $36,307.81 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $57,543.99 / $72,443.60
| Facility | | $38,904.51 | $57,543.99 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $48,977.88 / $63,095.73
| Facility | | $30,902.95 | $48,977.88 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $43,651.58 / $109,647.82
| Facility | | $23,988.33 | $43,651.58 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $38,018.94 / $60,255.96
| Facility | | $9,332.54 | $38,018.94 | $60,255.96 |