- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $16,982.44 / $35,481.34
| Facility | | $7,762.47 | $16,982.44 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,199.52 / $37,153.52
| Facility | | $20,417.38 | $30,199.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,877.62 / $30,902.95
| Facility | | $15,488.17 | $21,877.62 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $22,387.21 / $57,543.99
| Facility | | $11,748.98 | $22,387.21 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $16,595.87 / $30,199.52
| Facility | | $6,606.93 | $16,595.87 | $30,199.52 |