- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,494.10 / $18,245.09 / $23,980.30
| Facility | | $12,494.10 | $18,245.09 | $23,980.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,034.78 / $13,711.61 / $23,191.34
| Facility | | $5,034.78 | $13,711.61 | $23,191.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,692.27 / $18,326.15 / $30,673.84
| Facility | | $12,692.27 | $18,326.15 | $30,673.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,715.85 / $20,452.23 / $29,861.92
| Facility | | $15,715.85 | $20,452.23 | $29,861.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,420.93 / $17,885.84 / $27,879.98
| Facility | | $10,420.93 | $17,885.84 | $27,879.98 |