- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $21,379.62 / $57,543.99
| Facility | | $13,489.63 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,387.21 / $35,481.34
| Facility | | $15,488.17 | $22,387.21 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,183.83 / $38,018.94
| Facility | | $18,197.01 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $29,512.09 / $45,708.82
| Facility | | $2,951.21 | $29,512.09 | $45,708.82 |