- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $64,565.42
| Facility | | $19,952.62 | $28,183.83 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $16,218.10 / $30,199.52
| Facility | | $16,218.10 | $16,218.10 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $15,488.17 / $31,622.78
| Facility | | $9,332.54 | $15,488.17 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $28,840.32 / $39,810.72
| Facility | | $14,454.40 | $28,840.32 | $39,810.72 |
- 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 |