- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,302.69 / $33,113.11
| Facility | | $7,943.28 | $12,302.69 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $17,378.01 / $27,542.29
| Facility | | $12,022.64 | $17,378.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,595.87 / $22,387.21
| Facility | | $10,471.29 | $16,595.87 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $52,480.75 / $52,480.75
| Facility | | $47,863.01 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $16,982.44 / $26,302.68
| Facility | | $2,951.21 | $16,982.44 | $26,302.68 |