- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $18,620.87 / $42,657.95
| Facility | | $12,882.50 | $18,620.87 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $16,595.87 / $35,481.34
| Facility | | $15,135.61 | $16,595.87 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,022.64 / $23,442.29
| Facility | | $8,128.31 | $12,022.64 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $26,302.68
| Facility | | $14,454.40 | $19,952.62 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $27,542.29 / $43,651.58
| Facility | | $6,918.31 | $27,542.29 | $43,651.58 |