- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,410.80 / $18,573.59 / $37,746.50
| Facility | | $14,410.80 | $18,573.59 | $37,746.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,205.45 / $19,410.14 / $23,029.41
| Facility | | $11,205.45 | $19,410.14 | $23,029.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,221.30 / $17,826.70 / $20,380.53
| Facility | | $14,221.30 | $17,826.70 | $20,380.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,502.92 / $20,361.38 / $26,480.85
| Facility | | $11,502.92 | $20,361.38 | $26,480.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,886.27 / $22,321.66 / $27,635.29
| Facility | | $12,886.27 | $22,321.66 | $27,635.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $16,329.32 / $25,147.56
| Facility | | $1,286.00 | $16,329.32 | $25,147.56 |