- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $36,307.81
| Facility | | $22,908.68 | $31,622.78 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $11,748.98 / $18,197.01
| Facility | | $11,748.98 | $11,748.98 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $37,153.52
| Facility | | $16,218.10 | $29,512.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $22,908.68 / $57,543.99
| Facility | | $15,135.61 | $22,908.68 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,908.68 / $33,884.42
| Facility | | $14,454.40 | $22,908.68 | $33,884.42 |