- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,417.38 / $54,954.09
| Facility | | $13,182.57 | $20,417.38 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $46,773.51
| Facility | | $46,773.51 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,902.95 / $47,863.01
| Facility | | $21,379.62 | $30,902.95 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $36,307.81
| Facility | | $17,378.01 | $27,542.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $81,283.05 / $81,283.05
| Facility | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $28,183.83 / $43,651.58
| Facility | | $2,951.21 | $28,183.83 | $43,651.58 |