- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,546.30 / $22,702.20 / $29,838.60
| Facility | | $15,546.30 | $22,702.20 | $29,838.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,264.65 / $19,784.37 / $33,462.60
| Facility | | $7,264.65 | $19,784.37 | $33,462.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,363.21 / $22,908.22 / $40,861.79
| Facility | | $16,363.21 | $22,908.22 | $40,861.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,555.15 / $25,448.59 / $37,157.01
| Facility | | $19,555.15 | $25,448.59 | $37,157.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,966.70 / $22,255.26 / $34,690.91
| Facility | | $12,966.70 | $22,255.26 | $34,690.91 |