- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $29,512.09 / $43,651.58
| Facility | | $22,387.21 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $27,542.29 / $41,686.94
| Facility | | $7,585.78 | $27,542.29 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,703.96 / $51,286.14
| Facility | | $17,378.01 | $25,703.96 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $20,892.96 / $20,892.96
| Facility | | $5,754.40 | $20,892.96 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $19,054.61 / $34,673.69
| Facility | | $3,467.37 | $19,054.61 | $34,673.69 |