- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $17,782.79 / $37,153.52
| Facility | | $8,128.31 | $17,782.79 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $31,622.78 / $39,810.72
| Facility | | $21,379.62 | $31,622.78 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,908.68 / $32,359.37
| Facility | | $15,488.17 | $22,908.68 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $23,988.33 / $60,255.96
| Facility | | $13,182.57 | $23,988.33 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $16,595.87 / $31,622.78
| Facility | | $5,623.41 | $16,595.87 | $31,622.78 |