- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $30,199.52 / $45,708.82
| Facility | | $23,442.29 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,054.61 / $30,902.95
| Facility | | $11,481.54 | $19,054.61 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $28,840.32 / $43,651.58
| Facility | | $6,918.31 | $28,840.32 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $23,988.33 / $44,668.36
| Facility | | $17,378.01 | $23,988.33 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $19,952.62 / $36,307.81
| Facility | | $3,311.31 | $19,952.62 | $36,307.81 |