- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $20,892.96 / $24,547.09
| Facility | | $13,489.63 | $20,892.96 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $22,387.21 / $30,199.52
| Facility | | $15,135.61 | $22,387.21 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,197.01 / $26,915.35
| Facility | | $12,589.25 | $18,197.01 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,054.61 / $25,118.86
| Facility | | $14,125.38 | $19,054.61 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $21,379.62 / $32,359.37
| Facility | | $4,073.80 | $21,379.62 | $32,359.37 |