- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $64,565.42
| Facility | | $19,952.62 | $28,183.83 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $14,454.40 / $25,118.86
| Facility | | $13,489.63 | $14,454.40 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $19,498.45 / $41,686.94
| Facility | | $10,715.19 | $19,498.45 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $28,840.32 / $39,810.72
| Facility | | $13,489.63 | $28,840.32 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $43,651.58 / $66,069.34
| Facility | | $6,918.31 | $43,651.58 | $66,069.34 |