- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,054.61 / $22,387.21
| Facility | | $12,302.69 | $19,054.61 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $20,892.96 / $27,542.29
| Facility | | $13,803.84 | $20,892.96 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $16,595.87 / $24,547.09
| Facility | | $11,748.98 | $16,595.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $18,197.01 / $22,908.68
| Facility | | $13,182.57 | $18,197.01 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $17,782.79 / $29,512.09
| Facility | | $4,073.80 | $17,782.79 | $29,512.09 |