- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $27,542.29 / $61,659.50
| Facility | | $19,054.61 | $27,542.29 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $20,417.38 / $38,904.51
| Facility | | $12,882.50 | $20,417.38 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $20,417.38 / $46,773.51
| Facility | | $12,302.69 | $20,417.38 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $27,542.29 / $40,738.03
| Facility | | $15,488.17 | $27,542.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $42,657.95 / $64,565.42
| Facility | | $6,918.31 | $42,657.95 | $64,565.42 |