- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,302.68 / $72,443.60
| Facility | | $16,982.44 | $26,302.68 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $8,128.31 / $21,379.62
| Facility | | $8,128.31 | $8,128.31 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $30,199.52 / $46,773.51
| Facility | | $20,892.96 | $30,199.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $35,481.34 / $46,773.51
| Facility | | $22,387.21 | $35,481.34 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $36,307.81 / $56,234.13
| Facility | | $2,951.21 | $36,307.81 | $56,234.13 |