- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,330.18 / $18,240.09 / $30,796.70
| Facility | | $8,330.18 | $18,240.09 | $30,796.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,293.38 / $30,382.33 / $45,666.90
| Facility | | $20,293.38 | $30,382.33 | $45,666.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,183.45 / $26,001.62 / $38,168.93
| Facility | | $18,183.45 | $26,001.62 | $38,168.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,380.43 / $25,710.82 / $53,916.40
| Facility | | $13,380.43 | $25,710.82 | $53,916.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,183.45 / $28,309.54 / $38,379.35
| Facility | | $18,183.45 | $28,309.54 | $38,379.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $23,942.60 / $35,993.47
| Facility | | $5,281.00 | $23,942.60 | $35,993.47 |