- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,353.45 / $20,571.30 / $35,212.10
| Facility | | $9,353.45 | $20,571.30 | $35,212.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,305.30 / $32,689.10 / $45,283.28
| Facility | | $22,305.30 | $32,689.10 | $45,283.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.08 / $29,195.63 / $42,857.55
| Facility | | $20,417.08 | $29,195.63 | $42,857.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,024.07 / $28,869.10 / $60,539.43
| Facility | | $15,024.07 | $28,869.10 | $60,539.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.08 / $31,787.05 / $43,093.83
| Facility | | $20,417.08 | $31,787.05 | $43,093.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,915.12 / $26,883.69 / $40,414.87
| Facility | | $5,915.12 | $26,883.69 | $40,414.87 |