- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $18,620.87 / $34,673.69
| Facility | | $7,079.46 | $18,620.87 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $29,512.09 / $36,307.81
| Facility | | $19,498.45 | $29,512.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $31,622.78
| Facility | | $15,848.93 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $21,877.62 / $54,954.09
| Facility | | $12,302.69 | $21,877.62 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $19,498.45 / $30,902.95
| Facility | | $6,456.54 | $19,498.45 | $30,902.95 |