- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $27,542.29 / $37,153.52
| Facility | | $14,454.40 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,877.62 / $34,673.69
| Facility | | $14,454.40 | $21,877.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $29,512.09 / $39,810.72
| Facility | | $14,125.38 | $29,512.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $20,417.38 / $43,651.58
| Facility | | $7,079.46 | $20,417.38 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $20,892.96 / $41,686.94
| Facility | | $6,456.54 | $20,892.96 | $41,686.94 |