- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,567.90 / $31,664.70 / $64,351.10
| Facility | | $24,567.90 | $31,664.70 | $64,351.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,743.34 / $26,743.34 / $26,743.34
| Facility | | $26,743.34 | $26,743.34 | $26,743.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,974.57 / $30,052.63 / $34,357.92
| Facility | | $23,974.57 | $30,052.63 | $34,357.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,610.45 / $34,712.55 / $45,145.17
| Facility | | $19,610.45 | $34,712.55 | $45,145.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $31,541.28 / $44,342.93
| Facility | | $1,518.00 | $31,541.28 | $44,342.93 |