- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,417.38 / $30,902.95
| Facility | | $15,848.93 | $20,417.38 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,803.84 / $20,417.38
| Facility | | $8,709.64 | $13,803.84 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $19,498.45 / $29,512.09
| Facility | | $6,918.31 | $19,498.45 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,782.79 / $28,840.32
| Facility | | $12,302.69 | $17,782.79 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $14,125.38 / $23,442.29
| Facility | | $3,467.37 | $14,125.38 | $23,442.29 |