- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $17,378.01 / $36,307.81
| Facility | | $7,943.28 | $17,378.01 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,199.52 / $38,018.94
| Facility | | $20,417.38 | $30,199.52 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,387.21 / $30,902.95
| Facility | | $15,488.17 | $22,387.21 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $22,908.68 / $57,543.99
| Facility | | $12,882.50 | $22,908.68 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $16,595.87 / $30,902.95
| Facility | | $6,606.93 | $16,595.87 | $30,902.95 |