- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,183.83 / $39,810.72
| Facility | | $18,620.87 | $28,183.83 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $19,952.62 / $33,113.11
| Facility | | $7,413.10 | $19,952.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $44,668.36
| Facility | | $19,054.61 | $26,915.35 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $25,703.96 / $37,153.52
| Facility | | $20,892.96 | $25,703.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $25,118.86 / $36,307.81
| Facility | | $13,182.57 | $25,118.86 | $36,307.81 |