- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $23,442.29 / $36,307.81
| Facility | | $17,782.79 | $23,442.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $17,782.79 / $32,359.37
| Facility | | $12,589.25 | $17,782.79 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $20,417.38 / $34,673.69
| Facility | | $6,918.31 | $20,417.38 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,498.45 / $31,622.78
| Facility | | $14,454.40 | $19,498.45 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $15,848.93 / $28,840.32
| Facility | | $3,467.37 | $15,848.93 | $28,840.32 |