- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,892.96 / $26,915.35
| Facility | | $14,791.08 | $20,892.96 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $21,379.62 / $53,703.18
| Facility | | $12,022.64 | $21,379.62 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,877.62 / $30,902.95
| Facility | | $11,481.54 | $21,877.62 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $20,417.38 / $26,302.68
| Facility | | $12,022.64 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $21,877.62 / $30,902.95
| Facility | | $10,964.78 | $21,877.62 | $30,902.95 |