- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $19,952.62 / $41,686.94
| Facility | | $8,912.51 | $19,952.62 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $34,673.69 / $43,651.58
| Facility | | $23,442.29 | $34,673.69 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $35,481.34
| Facility | | $15,488.17 | $25,703.96 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $26,302.68 / $66,069.34
| Facility | | $14,791.08 | $26,302.68 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,197.01 / $35,481.34
| Facility | | $6,918.31 | $18,197.01 | $35,481.34 |