- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $18,197.01 / $31,622.78
| Facility | | $14,454.40 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $16,982.44 / $50,118.72
| Facility | | $16,982.44 | $16,982.44 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $18,197.01 / $29,512.09
| Facility | | $10,964.78 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $32,359.37
| Facility | | $15,488.17 | $24,547.09 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $23,988.33 / $37,153.52
| Facility | | $13,803.84 | $23,988.33 | $37,153.52 |