- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,401.70 / $34,824.90 / $56,605.10
| Facility | | $20,401.70 | $34,824.90 | $56,605.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,609.53 / $27,282.40 / $36,443.01
| Facility | | $11,609.53 | $27,282.40 | $36,443.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,494.32 / $27,670.10 / $43,652.26
| Facility | | $17,494.32 | $27,670.10 | $43,652.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,177.34 / $20,418.40 / $44,024.87
| Facility | | $9,177.34 | $20,418.40 | $44,024.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $28,899.89 / $39,752.37
| Facility | | $6,842.00 | $28,899.89 | $39,752.37 |