- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,877.62 / $50,118.72
| Facility | | $15,488.17 | $21,877.62 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $19,054.61 / $20,892.96
| Facility | | $15,848.93 | $19,054.61 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $13,803.84 / $25,703.96
| Facility | | $7,585.78 | $13,803.84 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $22,387.21 / $30,902.95
| Facility | | $9,120.11 | $22,387.21 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $33,884.42 / $51,286.14
| Facility | | $6,918.31 | $33,884.42 | $51,286.14 |