- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,142.40 / $17,731.50 / $23,305.30
| Facility | | $12,142.40 | $17,731.50 | $23,305.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,539.48 / $15,086.09 / $25,516.10
| Facility | | $5,539.48 | $15,086.09 | $25,516.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,334.98 / $17,810.27 / $29,810.36
| Facility | | $12,334.98 | $17,810.27 | $29,810.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,273.45 / $19,876.49 / $29,021.30
| Facility | | $15,273.45 | $19,876.49 | $29,021.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,273.45 / $18,477.84 / $29,021.30
| Facility | | $15,273.45 | $18,477.84 | $29,021.30 |