- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $26,302.68 / $35,481.34
| Facility | | $14,125.38 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,379.62 / $34,673.69
| Facility | | $14,454.40 | $21,379.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $28,183.83 / $38,018.94
| Facility | | $13,489.63 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $20,417.38 / $41,686.94
| Facility | | $7,079.46 | $20,417.38 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $20,417.38 / $40,738.03
| Facility | | $6,456.54 | $20,417.38 | $40,738.03 |