- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,529.10 / $17,921.09 / $31,355.20
| Facility | | $13,529.10 | $17,921.09 | $31,355.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,988.79 / $22,696.38 / $25,281.15
| Facility | | $13,988.79 | $22,696.38 | $25,281.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $15,697.58 / $30,656.01
| Facility | | $5,939.30 | $15,697.58 | $30,656.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,412.69 / $17,470.00 / $27,994.73
| Facility | | $12,412.69 | $17,470.00 | $27,994.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $18,468.59 / $28,208.50
| Facility | | $3,496.00 | $18,468.59 | $28,208.50 |