- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $51,286.14
| Facility | | $17,378.01 | $26,915.35 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $30,902.95
| Facility | | $26,302.68 | $26,302.68 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,908.68 / $36,307.81
| Facility | | $14,791.08 | $22,908.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $17,782.79 / $36,307.81
| Facility | | $7,244.36 | $17,782.79 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $23,988.33 / $33,884.42
| Facility | | $6,606.93 | $23,988.33 | $33,884.42 |