- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $22,908.68 / $42,657.95
| Facility | | $8,709.64 | $22,908.68 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $44,668.36
| Facility | | $23,988.33 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $38,904.51
| Facility | | $19,498.45 | $30,199.52 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,915.35 / $67,608.30
| Facility | | $15,135.61 | $26,915.35 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $23,442.29 / $38,018.94
| Facility | | $7,762.47 | $23,442.29 | $38,018.94 |