- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,964.78 / $30,199.52
| Facility | | $7,079.46 | $10,964.78 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $27,542.29 / $42,657.95
| Facility | | $19,054.61 | $27,542.29 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $14,791.08 / $19,952.62
| Facility | | $9,549.93 | $14,791.08 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $13,803.84 / $22,387.21
| Facility | | $3,801.89 | $13,803.84 | $22,387.21 |