- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,390.90 / $18,094.40 / $23,782.30
| Facility | | $12,390.90 | $18,094.40 | $23,782.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,840.65 / $24,076.44 / $40,722.05
| Facility | | $8,840.65 | $24,076.44 | $40,722.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,041.99 / $18,258.56 / $32,568.12
| Facility | | $13,041.99 | $18,258.56 | $32,568.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,586.06 / $20,283.32 / $29,615.30
| Facility | | $15,586.06 | $20,283.32 | $29,615.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,586.06 / $18,856.05 / $29,615.30
| Facility | | $15,586.06 | $18,856.05 | $29,615.30 |