- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,106.19 / $19,041.80 / $31,841.40
| Facility | | $9,106.19 | $19,041.80 | $31,841.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,038.61 / $33,145.46 / $42,605.82
| Facility | | $22,038.61 | $33,145.46 | $42,605.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $25,553.16 / $40,856.81
| Facility | | $14,648.00 | $25,553.16 | $40,856.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,538.27 / $26,437.55 / $54,289.67
| Facility | | $15,538.27 | $26,437.55 | $54,289.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $27,346.40 / $40,866.89
| Facility | | $17,646.00 | $27,346.40 | $40,866.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $18,803.09 / $35,148.06
| Facility | | $5,281.00 | $18,803.09 | $35,148.06 |