- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $24,547.09 / $38,018.94
| Facility | | $19,054.61 | $24,547.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $11,748.98 / $23,442.29
| Facility | | $10,471.29 | $11,748.98 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $24,547.09 / $36,307.81
| Facility | | $6,918.31 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,498.45 / $36,307.81
| Facility | | $14,125.38 | $19,498.45 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $16,218.10 / $29,512.09
| Facility | | $3,311.31 | $16,218.10 | $29,512.09 |