- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $24,547.09 / $43,651.58
| Facility | | $10,232.93 | $24,547.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $7,244.36 / $21,379.62
| Facility | | $2,454.71 | $7,244.36 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $18,197.01 / $30,199.52
| Facility | | $5,370.32 | $18,197.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $20,417.38 / $45,708.82
| Facility | | $16,982.44 | $20,417.38 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $19,054.61 / $33,884.42
| Facility | | $3,311.31 | $19,054.61 | $33,884.42 |