- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,768.70 / $29,462.80 / $51,828.40
| Facility | | $15,768.70 | $29,462.80 | $51,828.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,995.61 / $26,995.61 / $30,194.87
| Facility | | $26,995.61 | $26,995.61 | $30,194.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,018.05 / $25,335.14 / $39,968.64
| Facility | | $16,018.05 | $25,335.14 | $39,968.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,571.74 / $20,135.36 / $40,309.81
| Facility | | $9,571.74 | $20,135.36 | $40,309.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $26,461.15 / $36,397.85
| Facility | | $6,842.00 | $26,461.15 | $36,397.85 |