- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,832.20 / $18,713.59 / $30,378.10
| Facility | | $12,832.20 | $18,713.59 | $30,378.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,714.04 / $23,648.11 / $42,535.10
| Facility | | $13,714.04 | $23,648.11 | $42,535.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,548.32 / $32,055.81 / $41,097.19
| Facility | | $22,548.32 | $32,055.81 | $41,097.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,068.02 / $29,132.60 / $36,847.47
| Facility | | $15,068.02 | $29,132.60 | $36,847.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,388.30 / $20,125.20 / $32,181.00
| Facility | | $13,388.30 | $20,125.20 | $32,181.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,657.42 / $26,774.39 / $40,678.07
| Facility | | $15,657.42 | $26,774.39 | $40,678.07 |