- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,564.09 / $33,395.10 / $54,281.10
| Facility | | $19,564.09 | $33,395.10 | $54,281.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,207.00 / $15,212.39 / $28,074.67
| Facility | | $6,207.00 | $15,212.39 | $28,074.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,776.08 / $26,534.09 / $41,860.08
| Facility | | $16,776.08 | $26,534.09 | $41,860.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,981.51 / $26,888.80 / $50,188.84
| Facility | | $14,981.51 | $26,888.80 | $50,188.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,442.31 / $30,195.34 / $40,196.90
| Facility | | $19,442.31 | $30,195.34 | $40,196.90 |