- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,438.59 / $20,667.20 / $34,894.40
| Facility | | $9,438.59 | $20,667.20 | $34,894.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,101.53 / $35,765.01 / $46,376.21
| Facility | | $24,101.53 | $35,765.01 | $46,376.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,602.93 / $29,461.39 / $43,247.67
| Facility | | $20,602.93 | $29,461.39 | $43,247.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,160.82 / $29,131.89 / $61,090.49
| Facility | | $15,160.82 | $29,131.89 | $61,090.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,022.41 / $13,022.41 / $13,022.41
| Facility | | $13,022.41 | $13,022.41 | $13,022.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,602.93 / $32,076.39 / $43,486.09
| Facility | | $20,602.93 | $32,076.39 | $43,486.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.96 / $27,128.39 / $40,782.74
| Facility | | $5,968.96 | $27,128.39 | $40,782.74 |