- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $27,542.29 / $51,286.14
| Facility | | $17,782.79 | $27,542.29 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $28,840.32 / $29,512.09
| Facility | | $23,988.33 | $28,840.32 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,442.29 / $37,153.52
| Facility | | $15,135.61 | $23,442.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $19,952.62 / $38,904.51
| Facility | | $10,232.93 | $19,952.62 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,302.68 / $35,481.34
| Facility | | $15,135.61 | $26,302.68 | $35,481.34 |