- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $20,417.38 / $42,657.95
| Facility | | $9,332.54 | $20,417.38 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $44,668.36
| Facility | | $23,988.33 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $26,302.68 / $36,307.81
| Facility | | $15,488.17 | $26,302.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,915.35 / $67,608.30
| Facility | | $15,135.61 | $26,915.35 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $18,197.01 / $36,307.81
| Facility | | $7,943.28 | $18,197.01 | $36,307.81 |