- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,183.83 / $63,095.73
| Facility | | $19,498.45 | $28,183.83 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $18,197.01 / $23,988.33
| Facility | | $16,218.10 | $18,197.01 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $21,877.62 / $42,657.95
| Facility | | $12,882.50 | $21,877.62 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $32,359.37 / $38,904.51
| Facility | | $22,908.68 | $32,359.37 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $41,686.94 / $66,069.34
| Facility | | $6,918.31 | $41,686.94 | $66,069.34 |