- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,420.50 / $19,597.90 / $25,758.40
| Facility | | $13,420.50 | $19,597.90 | $25,758.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,970.08 / $19,136.71 / $32,105.77
| Facility | | $6,970.08 | $19,136.71 | $32,105.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,633.40 / $19,685.03 / $35,274.36
| Facility | | $13,633.40 | $19,685.03 | $35,274.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,881.18 / $21,968.76 / $32,076.17
| Facility | | $16,881.18 | $21,968.76 | $32,076.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,881.18 / $20,422.89 / $32,076.17
| Facility | | $16,881.18 | $20,422.89 | $32,076.17 |