- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $22,908.68 / $39,810.72
| Facility | | $15,135.61 | $22,908.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $20,417.38 / $29,512.09
| Facility | | $12,882.50 | $20,417.38 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,952.62 / $35,481.34
| Facility | | $14,125.38 | $19,952.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $223.87 / $354.81
| Facility | | $151.36 | $223.87 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,908.68 / $32,359.37
| Facility | | $15,488.17 | $22,908.68 | $32,359.37 |