- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,776.60 / $19,573.70 / $34,246.50
| Facility | | $14,776.60 | $19,573.70 | $34,246.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,832.32 / $15,839.06 / $24,461.07
| Facility | | $10,832.32 | $15,839.06 | $24,461.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $17,106.77 / $33,638.16
| Facility | | $5,939.30 | $17,106.77 | $33,638.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,748.09 / $18,779.32 / $30,576.15
| Facility | | $12,748.09 | $18,779.32 | $30,576.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $20,171.61 / $30,809.64
| Facility | | $3,496.00 | $20,171.61 | $30,809.64 |