- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $18,620.87 / $35,481.34
| Facility | | $12,022.64 | $18,620.87 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $13,489.63 / $21,877.62
| Facility | | $11,220.18 | $13,489.63 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $15,848.93 / $42,657.95
| Facility | | $12,022.64 | $15,848.93 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $13,489.63 / $25,703.96
| Facility | | $6,456.54 | $13,489.63 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $16,595.87 / $23,442.29
| Facility | | $6,309.57 | $16,595.87 | $23,442.29 |