- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $28,840.32 / $38,904.51
| Facility | | $15,135.61 | $28,840.32 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $39,810.72
| Facility | | $15,848.93 | $24,547.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $30,902.95 / $41,686.94
| Facility | | $14,791.08 | $30,902.95 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $21,877.62 / $45,708.82
| Facility | | $7,079.46 | $21,877.62 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $21,877.62 / $43,651.58
| Facility | | $6,456.54 | $21,877.62 | $43,651.58 |