- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,023.20 / $37,592.69 / $61,103.90
| Facility | | $22,023.20 | $37,592.69 | $61,103.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,386.98 / $36,386.98 / $36,386.98
| Facility | | $36,386.98 | $36,386.98 | $36,386.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,884.74 / $29,869.27 / $47,121.66
| Facility | | $18,884.74 | $29,869.27 | $47,121.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,744.01 / $23,307.41 / $47,523.89
| Facility | | $10,744.01 | $23,307.41 | $47,523.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $31,196.80 / $42,911.83
| Facility | | $6,842.00 | $31,196.80 | $42,911.83 |