- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,080.59 / $32,569.80 / $52,939.60
| Facility | | $19,080.59 | $32,569.80 | $52,939.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,632.85 / $22,138.01 / $30,512.81
| Facility | | $12,632.85 | $22,138.01 | $30,512.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,459.91 / $25,878.31 / $40,825.54
| Facility | | $16,459.91 | $25,878.31 | $40,825.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,246.94 / $27,977.23 / $51,702.64
| Facility | | $15,246.94 | $27,977.23 | $51,702.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $27,028.46 / $37,178.19
| Facility | | $6,842.00 | $27,028.46 | $37,178.19 |