- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $34,673.69
| Facility | | $13,489.63 | $25,703.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,877.62 / $35,481.34
| Facility | | $14,454.40 | $21,877.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $27,542.29 / $37,153.52
| Facility | | $13,182.57 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $19,952.62 / $40,738.03
| Facility | | $7,079.46 | $19,952.62 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $19,498.45 / $38,904.51
| Facility | | $6,456.54 | $19,498.45 | $38,904.51 |