- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $28,840.32
| Facility | | $15,848.93 | $24,547.09 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $26,302.68 / $35,481.34
| Facility | | $17,782.79 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $21,379.62 / $31,622.78
| Facility | | $14,791.08 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,892.96 / $29,512.09
| Facility | | $14,791.08 | $20,892.96 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $25,118.86 / $38,018.94
| Facility | | $4,073.80 | $25,118.86 | $38,018.94 |