- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,457.40 / $36,223.69 / $63,743.20
| Facility | | $21,457.40 | $36,223.69 | $63,743.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,669.17 / $14,959.13 / $24,525.07
| Facility | | $10,669.17 | $14,959.13 | $24,525.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,518.90 / $32,835.83 / $45,053.68
| Facility | | $19,518.90 | $32,835.83 | $45,053.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,597.89 / $68,597.89 / $80,505.46
| Facility | | $68,597.89 | $68,597.89 | $80,505.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $30,929.31 / $45,092.19
| Facility | | $1,787.00 | $30,929.31 | $45,092.19 |