- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,070.80 / $32,553.10 / $52,912.50
| Facility | | $19,070.80 | $32,553.10 | $52,912.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,855.64 / $25,855.64 / $29,828.95
| Facility | | $25,855.64 | $25,855.64 | $29,828.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,353.09 / $25,865.06 / $40,804.64
| Facility | | $16,353.09 | $25,865.06 | $40,804.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,339.08 / $25,046.63 / $48,923.39
| Facility | | $13,339.08 | $25,046.63 | $48,923.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $27,014.62 / $37,159.16
| Facility | | $6,842.00 | $27,014.62 | $37,159.16 |