- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,597.83 / $16,338.20 / $43,409.10
| Facility | | $12,597.83 | $16,338.20 | $43,409.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,966.51 / $15,076.21 / $25,786.83
| Facility | | $9,966.51 | $15,076.21 | $25,786.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,829.00 / $17,841.08 / $31,159.61
| Facility | | $13,829.00 | $17,841.08 | $31,159.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,745.62 / $16,723.03 / $44,566.30
| Facility | | $8,745.62 | $16,723.03 | $44,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,745.62 / $16,686.65 / $23,452.27
| Facility | | $8,745.62 | $16,686.65 | $23,452.27 |