- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $31,622.78 / $41,686.94
| Facility | | $14,125.38 | $31,622.78 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $35,481.34 / $60,255.96
| Facility | | $15,135.61 | $35,481.34 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $40,738.03 / $64,565.42
| Facility | | $31,622.78 | $40,738.03 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $37,153.52 / $58,884.37
| Facility | | $17,782.79 | $37,153.52 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $34,673.69 / $52,480.75
| Facility | | $22,387.21 | $34,673.69 | $52,480.75 |