- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $31,622.78 / $56,234.13
| Facility | | $19,498.45 | $31,622.78 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $23,988.33 / $33,113.11
| Facility | | $12,022.64 | $23,988.33 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $27,542.29 / $46,773.51
| Facility | | $16,982.44 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $26,915.35 / $50,118.72
| Facility | | $14,454.40 | $26,915.35 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $25,703.96 / $39,810.72
| Facility | | $7,762.47 | $25,703.96 | $39,810.72 |