- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,084.20 / $25,748.20 / $41,851.60
| Facility | | $15,084.20 | $25,748.20 | $41,851.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,170.75 / $18,713.21 / $25,948.79
| Facility | | $10,170.75 | $18,713.21 | $25,948.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,934.64 / $20,458.22 / $32,274.83
| Facility | | $12,934.64 | $20,458.22 | $32,274.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,770.33 / $24,276.07 / $46,726.46
| Facility | | $12,770.33 | $24,276.07 | $46,726.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $21,367.48 / $29,391.40
| Facility | | $6,553.00 | $21,367.48 | $29,391.40 |