- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,160.20 / $22,138.40 / $29,097.50
| Facility | | $15,160.20 | $22,138.40 | $29,097.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,029.24 / $30,036.78 / $50,803.17
| Facility | | $11,029.24 | $30,036.78 | $50,803.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,956.82 / $22,339.27 / $39,846.96
| Facility | | $15,956.82 | $22,339.27 | $39,846.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,069.48 / $24,816.56 / $36,234.19
| Facility | | $19,069.48 | $24,816.56 | $36,234.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,644.67 / $21,191.50 / $33,829.33
| Facility | | $12,644.67 | $21,191.50 | $33,829.33 |