- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $57,543.99
| Facility | | $19,498.45 | $30,199.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $11,220.18 / $11,220.18
| Facility | | $11,220.18 | $11,220.18 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,118.86 / $39,810.72
| Facility | | $16,218.10 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $26,302.68 / $54,954.09
| Facility | | $14,791.08 | $26,302.68 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $24,547.09 / $38,018.94
| Facility | | $2,951.21 | $24,547.09 | $38,018.94 |