- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,988.33 / $28,183.83
| Facility | | $15,488.17 | $23,988.33 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,302.68 / $36,307.81
| Facility | | $17,378.01 | $26,302.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $23,442.29 / $34,673.69
| Facility | | $14,791.08 | $23,442.29 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $24,547.09 / $28,840.32
| Facility | | $16,595.87 | $24,547.09 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $25,118.86 / $38,018.94
| Facility | | $4,073.80 | $25,118.86 | $38,018.94 |