- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,113.11 / $61,659.50
| Facility | | $21,379.62 | $33,113.11 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $23,988.33 / $33,884.42
| Facility | | $12,022.64 | $23,988.33 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $27,542.29 / $44,668.36
| Facility | | $18,197.01 | $27,542.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $23,442.29 / $44,668.36
| Facility | | $10,715.19 | $23,442.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $31,622.78 / $42,657.95
| Facility | | $17,782.79 | $31,622.78 | $42,657.95 |