- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,654.60 / $20,736.59 / $36,281.19
| Facility | | $15,654.60 | $20,736.59 | $36,281.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,054.31 / $20,100.59 / $26,644.33
| Facility | | $16,054.31 | $20,100.59 | $26,644.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,070.41 / $34,222.62
| Facility | | $5,939.30 | $18,070.41 | $34,222.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,505.51 / $20,942.11 / $32,392.80
| Facility | | $13,505.51 | $20,942.11 | $32,392.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $21,370.09 / $36,707.91
| Facility | | $3,496.00 | $21,370.09 | $36,707.91 |