- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,199.90 / $31,506.10 / $44,609.20
| Facility | | $17,199.90 | $31,506.10 | $44,609.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,021.22 / $23,218.71 / $35,802.58
| Facility | | $14,021.22 | $23,218.71 | $35,802.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,882.70 / $28,341.37 / $50,423.80
| Facility | | $17,882.70 | $28,341.37 | $50,423.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $26,157.51 / $59,626.23
| Facility | | $7,117.00 | $26,157.51 | $59,626.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $23,979.08 / $52,986.98
| Facility | | $3,308.00 | $23,979.08 | $52,986.98 |