- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $27,542.29 / $51,286.14
| Facility | | $17,782.79 | $27,542.29 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $23,442.29 / $28,840.32
| Facility | | $11,220.18 | $23,442.29 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,442.29 / $37,153.52
| Facility | | $15,135.61 | $23,442.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $18,620.87 / $37,153.52
| Facility | | $7,762.47 | $18,620.87 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $24,547.09 / $34,673.69
| Facility | | $6,606.93 | $24,547.09 | $34,673.69 |