- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $20,892.96 / $36,307.81
| Facility | | $16,595.87 | $20,892.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,952.62 / $32,359.37
| Facility | | $19,498.45 | $19,952.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $20,892.96 / $33,884.42
| Facility | | $12,302.69 | $20,892.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,183.83 / $35,481.34
| Facility | | $17,782.79 | $28,183.83 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $27,542.29 / $42,657.95
| Facility | | $15,488.17 | $27,542.29 | $42,657.95 |