- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $37,153.52 / $70,794.58
| Facility | | $23,988.33 | $37,153.52 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $31,622.78 / $51,286.14
| Facility | | $20,892.96 | $31,622.78 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $31,622.78 / $60,255.96
| Facility | | $16,595.87 | $31,622.78 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $36,307.81 / $48,977.88
| Facility | | $19,054.61 | $36,307.81 | $48,977.88 |