- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $23,988.33 / $40,738.03
| Facility | | $19,054.61 | $23,988.33 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $27,542.29 / $27,542.29
| Facility | | $27,542.29 | $27,542.29 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $22,387.21 / $36,307.81
| Facility | | $13,803.84 | $22,387.21 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $31,622.78 / $40,738.03
| Facility | | $17,782.79 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $29,512.09 / $45,708.82
| Facility | | $17,378.01 | $29,512.09 | $45,708.82 |