- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,417.38 / $36,307.81
| Facility | | $15,848.93 | $20,417.38 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $4,466.84 / $17,378.01
| Facility | | $4,466.84 | $4,466.84 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $17,378.01 / $30,902.95
| Facility | | $7,762.47 | $17,378.01 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $21,379.62 / $31,622.78
| Facility | | $16,218.10 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $19,952.62 / $30,902.95
| Facility | | $10,232.93 | $19,952.62 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,197.01 / $26,915.35
| Facility | | $12,302.69 | $18,197.01 | $26,915.35 |