- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,892.96 / $26,915.35
| Facility | | $17,782.79 | $20,892.96 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $21,379.62 / $36,307.81
| Facility | | $9,120.11 | $21,379.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $25,118.86 / $37,153.52
| Facility | | $19,054.61 | $25,118.86 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $22,908.68 / $38,018.94
| Facility | | $11,481.54 | $22,908.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $20,892.96 / $33,113.11
| Facility | | $13,489.63 | $20,892.96 | $33,113.11 |