- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,052.33 / $17,023.59 / $28,263.20
| Facility | | $13,052.33 | $17,023.59 | $28,263.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,746.04 / $14,919.64 / $24,732.94
| Facility | | $9,746.04 | $14,919.64 | $24,732.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,673.81 / $18,157.64 / $26,108.47
| Facility | | $14,673.81 | $18,157.64 | $26,108.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.00 / $17,442.48 / $43,580.43
| Facility | | $8,787.00 | $17,442.48 | $43,580.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,121.87 / $17,404.54 / $24,461.22
| Facility | | $9,121.87 | $17,404.54 | $24,461.22 |