- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,840.32 / $52,480.75
| Facility | | $21,379.62 | $28,840.32 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $16,595.87 / $25,118.86
| Facility | | $16,595.87 | $16,595.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $25,118.86 / $42,657.95
| Facility | | $10,715.19 | $25,118.86 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $53,703.18
| Facility | | $20,892.96 | $28,840.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $26,915.35 / $41,686.94
| Facility | | $13,803.84 | $26,915.35 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $24,547.09 / $40,738.03
| Facility | | $16,218.10 | $24,547.09 | $40,738.03 |