- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,007.30 / $29,030.80 / $47,187.30
| Facility | | $17,007.30 | $29,030.80 | $47,187.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,604.83 / $14,604.83 / $14,604.83
| Facility | | $14,604.83 | $14,604.83 | $14,604.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,583.66 / $23,066.42 / $36,389.51
| Facility | | $14,583.66 | $23,066.42 | $36,389.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,346.97 / $36,855.37 / $87,986.70
| Facility | | $15,346.97 | $36,855.37 | $87,986.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,001.74 / $26,249.20 / $34,943.68
| Facility | | $17,001.74 | $26,249.20 | $34,943.68 |