- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $34,673.69 / $52,480.75
| Facility | | $26,915.35 | $34,673.69 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $24,547.09 / $24,547.09
| Facility | | $24,547.09 | $24,547.09 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $33,113.11 / $50,118.72
| Facility | | $6,918.31 | $33,113.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $27,542.29 / $51,286.14
| Facility | | $19,952.62 | $27,542.29 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $22,908.68 / $41,686.94
| Facility | | $3,311.31 | $22,908.68 | $41,686.94 |