- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,468.10 / $21,263.00 / $32,828.30
| Facility | | $14,468.10 | $21,263.00 | $32,828.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,426.48 / $54,628.98 / $70,037.16
| Facility | | $38,426.48 | $54,628.98 | $70,037.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,283.35 / $31,482.33 / $39,819.46
| Facility | | $16,283.35 | $31,482.33 | $39,819.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,468.10 / $21,748.40 / $34,776.60
| Facility | | $14,468.10 | $21,748.40 | $34,776.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,920.30 / $28,933.91 / $43,959.02
| Facility | | $16,920.30 | $28,933.91 | $43,959.02 |