- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,645.70 / $28,004.40 / $47,319.40
| Facility | | $16,645.70 | $28,004.40 | $47,319.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,088.58 / $19,846.84 / $27,714.07
| Facility | | $11,088.58 | $19,846.84 | $27,714.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,517.27 / $25,555.85 / $62,420.20
| Facility | | $17,517.27 | $25,555.85 | $62,420.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,029.45 / $19,115.14 / $36,983.07
| Facility | | $10,029.45 | $19,115.14 | $36,983.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,725.59 / $24,159.05 / $33,231.26
| Facility | | $6,725.59 | $24,159.05 | $33,231.26 |