- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,360.48 / $20,936.90 / $34,760.19
| Facility | | $13,360.48 | $20,936.90 | $34,760.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,988.33 / $17,959.23 / $30,423.30
| Facility | | $11,988.33 | $17,959.23 | $30,423.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,046.93 / $22,331.60 / $32,110.11
| Facility | | $18,046.93 | $22,331.60 | $32,110.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,789.75 / $21,452.05 / $53,607.07
| Facility | | $10,789.75 | $21,452.05 | $53,607.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,789.75 / $21,405.38 / $30,084.20
| Facility | | $10,789.75 | $21,405.38 | $30,084.20 |