- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $15,848.93 / $33,113.11
| Facility | | $7,244.36 | $15,848.93 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $27,542.29 / $34,673.69
| Facility | | $18,620.87 | $27,542.29 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,442.29 / $30,199.52
| Facility | | $15,135.61 | $23,442.29 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $20,892.96 / $52,480.75
| Facility | | $11,748.98 | $20,892.96 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $16,218.10 / $28,183.83
| Facility | | $5,623.41 | $16,218.10 | $28,183.83 |