- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,417.38 / $31,622.78
| Facility | | $15,848.93 | $20,417.38 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $16,595.87
| Facility | | $14,125.38 | $14,125.38 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $18,197.01 / $27,542.29
| Facility | | $10,715.19 | $18,197.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $30,902.95
| Facility | | $15,488.17 | $24,547.09 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $22,387.21 / $34,673.69
| Facility | | $13,803.84 | $22,387.21 | $34,673.69 |