- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $23,442.29 / $36,307.81
| Facility | | $18,620.87 | $23,442.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $15,488.17 / $22,908.68
| Facility | | $14,791.08 | $15,488.17 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $22,908.68 / $34,673.69
| Facility | | $6,918.31 | $22,908.68 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,054.61 / $34,673.69
| Facility | | $13,489.63 | $19,054.61 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $15,848.93 / $28,183.83
| Facility | | $3,311.31 | $15,848.93 | $28,183.83 |