- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,892.96 / $47,863.01
| Facility | | $14,791.08 | $20,892.96 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $15,135.61 / $17,782.79
| Facility | | $15,135.61 | $15,135.61 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $14,791.08 / $28,183.83
| Facility | | $11,220.18 | $14,791.08 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,118.86 / $36,307.81
| Facility | | $17,378.01 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $32,359.37 / $48,977.88
| Facility | | $6,918.31 | $32,359.37 | $48,977.88 |