- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $35,481.34 / $58,884.37
| Facility | | $23,442.29 | $35,481.34 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $14,791.08 / $37,153.52
| Facility | | $14,791.08 | $14,791.08 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,915.35 / $35,481.34
| Facility | | $19,498.45 | $26,915.35 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $39,810.72
| Facility | | $20,892.96 | $28,840.32 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $31,622.78 / $43,651.58
| Facility | | $10,964.78 | $31,622.78 | $43,651.58 |