- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $13,182.57 / $27,542.29
| Facility | | $5,623.41 | $13,182.57 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,908.68 / $28,840.32
| Facility | | $15,488.17 | $22,908.68 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $18,620.87 / $23,442.29
| Facility | | $13,182.57 | $18,620.87 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $17,378.01 / $43,651.58
| Facility | | $9,772.37 | $17,378.01 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $14,454.40 / $23,442.29
| Facility | | $5,011.87 | $14,454.40 | $23,442.29 |