- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,782.79 / $39,810.72
| Facility | | $12,302.69 | $17,782.79 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,498.45 / $30,902.95
| Facility | | $14,454.40 | $19,498.45 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,218.10 / $28,840.32
| Facility | | $10,471.29 | $16,218.10 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $20,417.38 / $26,915.35
| Facility | | $14,454.40 | $20,417.38 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $27,542.29 / $41,686.94
| Facility | | $6,918.31 | $27,542.29 | $41,686.94 |