- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,100.41 / $19,939.59 / $33,104.50
| Facility | | $14,100.41 | $19,939.59 | $33,104.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,947.34 / $13,947.34 / $20,902.95
| Facility | | $13,947.34 | $13,947.34 | $20,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,838.23 / $19,653.29 / $33,924.97
| Facility | | $12,838.23 | $19,653.29 | $33,924.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,187.31 / $21,796.13 / $38,067.15
| Facility | | $17,187.31 | $21,796.13 | $38,067.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,275.79 / $21,351.66 / $57,407.49
| Facility | | $10,275.79 | $21,351.66 | $57,407.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,275.79 / $20,385.79 / $28,651.22
| Facility | | $10,275.79 | $20,385.79 | $28,651.22 |