- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,181.30 / $29,877.50 / $60,719.10
| Facility | | $23,181.30 | $29,877.50 | $60,719.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,379.07 / $32,379.07 / $32,379.07
| Facility | | $32,379.07 | $32,379.07 | $32,379.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,188.92 / $27,814.28 / $31,798.91
| Facility | | $22,188.92 | $27,814.28 | $31,798.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,503.63 / $32,753.36 / $42,597.16
| Facility | | $18,503.63 | $32,753.36 | $42,597.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $26,267.39 / $40,452.42
| Facility | | $1,286.00 | $26,267.39 | $40,452.42 |