- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,443.20 / $36,602.69 / $59,494.80
| Facility | | $21,443.20 | $36,602.69 | $59,494.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $27,994.25 / $35,557.54
| Facility | | $11,231.00 | $27,994.25 | $35,557.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,318.91 / $29,082.67 / $45,880.73
| Facility | | $18,318.91 | $29,082.67 | $45,880.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,093.38 / $22,425.90 / $46,272.36
| Facility | | $11,093.38 | $22,425.90 | $46,272.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $30,375.24 / $41,781.75
| Facility | | $6,842.00 | $30,375.24 | $41,781.75 |