- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,374.70 / $20,991.30 / $27,589.80
| Facility | | $14,374.70 | $20,991.30 | $27,589.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,536.37 / $14,536.37 / $15,601.75
| Facility | | $14,536.37 | $14,536.37 | $15,601.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,076.06 / $13,936.57 / $23,381.47
| Facility | | $5,076.06 | $13,936.57 | $23,381.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,602.71 / $21,084.59 / $35,290.85
| Facility | | $14,602.71 | $21,084.59 | $35,290.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,081.39 / $23,530.69 / $34,356.72
| Facility | | $18,081.39 | $23,530.69 | $34,356.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,081.39 / $21,874.91 / $34,356.72
| Facility | | $18,081.39 | $21,874.91 | $34,356.72 |