- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,922.80 / $21,791.70 / $28,641.80
| Facility | | $14,922.80 | $21,791.70 | $28,641.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,399.72 / $17,570.74 / $29,478.54
| Facility | | $6,399.72 | $17,570.74 | $29,478.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,706.91 / $21,989.41 / $39,222.89
| Facility | | $15,706.91 | $21,989.41 | $39,222.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,770.82 / $24,427.89 / $35,666.71
| Facility | | $18,770.82 | $24,427.89 | $35,666.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,586.58 / $23,506.57 / $33,883.24
| Facility | | $15,586.58 | $23,506.57 | $33,883.24 |