- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $57,543.99
| Facility | | $19,498.45 | $30,199.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $13,803.84 / $22,387.21
| Facility | | $13,803.84 | $13,803.84 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,703.96 / $41,686.94
| Facility | | $16,982.44 | $25,703.96 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $22,387.21 / $43,651.58
| Facility | | $11,481.54 | $22,387.21 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $26,915.35 / $38,018.94
| Facility | | $6,606.93 | $26,915.35 | $38,018.94 |