- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,902.35 / $13,083.30 / $20,199.50
| Facility | | $8,902.35 | $13,083.30 | $20,199.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,007.20 / $39,816.42 / $51,046.69
| Facility | | $28,007.20 | $39,816.42 | $51,046.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,019.28 / $19,371.33 / $24,501.23
| Facility | | $10,019.28 | $19,371.33 | $24,501.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,902.35 / $13,382.00 / $21,398.30
| Facility | | $8,902.35 | $13,382.00 | $21,398.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,411.19 / $17,803.27 / $27,048.34
| Facility | | $10,411.19 | $17,803.27 | $27,048.34 |