- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $53,703.18
| Facility | | $24,547.09 | $30,902.95 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $29,512.09 / $47,863.01
| Facility | | $14,125.38 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $41,686.94 / $53,703.18
| Facility | | $20,417.38 | $41,686.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $38,018.94 / $63,095.73
| Facility | | $22,387.21 | $38,018.94 | $63,095.73 |