- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $16,982.44 / $38,904.51
| Facility | | $11,748.98 | $16,982.44 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $16,218.10 / $25,118.86
| Facility | | $11,481.54 | $16,218.10 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $12,589.25 / $22,908.68
| Facility | | $8,317.64 | $12,589.25 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $17,378.01 / $23,988.33
| Facility | | $12,022.64 | $17,378.01 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $26,302.68 / $39,810.72
| Facility | | $6,918.31 | $26,302.68 | $39,810.72 |