- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $35,481.34 / $95,499.26
| Facility | | $22,387.21 | $35,481.34 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $34,673.69 / $53,703.18
| Facility | | $23,988.33 | $34,673.69 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $56,234.13 / $63,095.73
| Facility | | $33,113.11 | $56,234.13 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138,038.43 / $138,038.43 / $138,038.43
| Facility | | $138,038.43 | $138,038.43 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $48,977.88 / $75,857.76
| Facility | | $2,951.21 | $48,977.88 | $75,857.76 |