- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $37,153.52 / $56,234.13
| Facility | | $28,840.32 | $37,153.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $11,481.54 / $30,199.52
| Facility | | $11,481.54 | $11,481.54 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $35,481.34 / $53,703.18
| Facility | | $6,918.31 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $54,954.09
| Facility | | $21,379.62 | $29,512.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $24,547.09 / $44,668.36
| Facility | | $3,311.31 | $24,547.09 | $44,668.36 |