- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,067.10 / $19,204.09 / $29,649.40
| Facility | | $13,067.10 | $19,204.09 | $29,649.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,333.76 / $41,702.33 / $53,464.52
| Facility | | $29,333.76 | $41,702.33 | $53,464.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,706.59 / $28,433.81 / $35,963.62
| Facility | | $14,706.59 | $28,433.81 | $35,963.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,067.10 / $19,642.40 / $31,409.10
| Facility | | $13,067.10 | $19,642.40 | $31,409.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,281.86 / $26,132.16 / $39,702.35
| Facility | | $15,281.86 | $26,132.16 | $39,702.35 |