- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,187.60 / $23,293.90 / $37,506.10
| Facility | | $10,187.60 | $23,293.90 | $37,506.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,062.25 / $21,464.34 / $27,864.63
| Facility | | $18,062.25 | $21,464.34 | $27,864.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $31,958.76
| Facility | | $1,474.01 | $6,242.69 | $31,958.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,861.78 / $24,355.26 / $34,502.16
| Facility | | $16,861.78 | $24,355.26 | $34,502.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,739.05 / $19,929.66 / $42,189.31
| Facility | | $14,739.05 | $19,929.66 | $42,189.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,838.44 / $20,427.43 / $43,454.04
| Facility | | $13,838.44 | $20,427.43 | $43,454.04 |