- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $24,547.09 / $37,153.52
| Facility | | $17,782.79 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,877.62 / $32,359.37
| Facility | | $13,803.84 | $21,877.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,379.62 / $38,018.94
| Facility | | $15,488.17 | $21,379.62 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $239.88 / $363.08
| Facility | | $154.88 | $239.88 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,442.29 / $34,673.69
| Facility | | $15,488.17 | $23,442.29 | $34,673.69 |