- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,320.70 / $23,833.10 / $31,324.90
| Facility | | $16,320.70 | $23,833.10 | $31,324.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,512.29 / $17,735.41 / $29,997.08
| Facility | | $6,512.29 | $17,735.41 | $29,997.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,178.34 / $24,049.38 / $42,897.30
| Facility | | $17,178.34 | $24,049.38 | $42,897.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,529.28 / $26,716.30 / $39,007.98
| Facility | | $20,529.28 | $26,716.30 | $39,007.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,612.63 / $22,813.74 / $36,419.01
| Facility | | $13,612.63 | $22,813.74 | $36,419.01 |