- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $24,547.09
| Facility | | $14,125.38 | $14,125.38 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $43,651.58 / $64,565.42
| Facility | | $32,359.37 | $43,651.58 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $44,668.36
| Facility | | $17,782.79 | $33,884.42 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $21,877.62 / $37,153.52
| Facility | | $21,877.62 | $21,877.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $75,857.76
| Facility | | $42,657.95 | $42,657.95 | $75,857.76 |