- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $22,387.21 / $51,286.14
| Facility | | $15,848.93 | $22,387.21 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $26,915.35
| Facility | | $26,915.35 | $26,915.35 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,498.45 / $43,651.58
| Facility | | $13,489.63 | $19,498.45 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,915.35 / $58,884.37
| Facility | | $18,620.87 | $26,915.35 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $34,673.69 / $52,480.75
| Facility | | $6,918.31 | $34,673.69 | $52,480.75 |