- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $25,118.86 / $38,018.94
| Facility | | $19,498.45 | $25,118.86 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $18,197.01 / $30,199.52
| Facility | | $11,481.54 | $18,197.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $25,118.86 / $36,307.81
| Facility | | $6,918.31 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $37,153.52
| Facility | | $14,454.40 | $19,952.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $16,595.87 / $30,199.52
| Facility | | $3,311.31 | $16,595.87 | $30,199.52 |