- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,771.70 / $28,628.60 / $46,533.40
| Facility | | $16,771.70 | $28,628.60 | $46,533.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,702.41 / $24,540.81 / $31,010.15
| Facility | | $12,702.41 | $24,540.81 | $31,010.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,381.59 / $22,746.82 / $35,885.30
| Facility | | $14,381.59 | $22,746.82 | $35,885.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,130.24 / $22,834.79 / $43,025.27
| Facility | | $13,130.24 | $22,834.79 | $43,025.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,613.88 / $23,757.79 / $32,679.32
| Facility | | $6,613.88 | $23,757.79 | $32,679.32 |