- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $19,952.62 / $30,199.52
| Facility | | $15,488.17 | $19,952.62 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $12,022.64 / $13,489.63
| Facility | | $12,022.64 | $12,022.64 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $20,892.96 / $28,840.32
| Facility | | $6,918.31 | $20,892.96 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $29,512.09
| Facility | | $11,481.54 | $15,848.93 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $14,125.38 / $25,703.96
| Facility | | $3,467.37 | $14,125.38 | $25,703.96 |