- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,257.10 / $21,409.80 / $33,632.19
| Facility | | $15,257.10 | $21,409.80 | $33,632.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,281.00 / $18,848.43 / $27,647.37
| Facility | | $12,281.00 | $18,848.43 | $27,647.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,309.85 / $18,375.05 / $33,258.00
| Facility | | $13,309.85 | $18,375.05 | $33,258.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.87 / $189.69 / $310.58
| Facility | | $132.87 | $189.69 | $310.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,910.16 / $20,262.43 / $32,163.81
| Facility | | $13,910.16 | $20,262.43 | $32,163.81 |