- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $23,442.29 / $31,622.78
| Facility | | $12,302.69 | $23,442.29 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,952.62 / $32,359.37
| Facility | | $13,182.57 | $19,952.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $25,118.86 / $33,884.42
| Facility | | $12,022.64 | $25,118.86 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $18,197.01 / $37,153.52
| Facility | | $7,079.46 | $18,197.01 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $18,197.01 / $35,481.34
| Facility | | $6,456.54 | $18,197.01 | $35,481.34 |