- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,121.52 / $17,130.90 / $28,441.40
| Facility | | $12,121.52 | $17,130.90 | $28,441.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,396.79 / $6,396.79 / $6,396.79
| Facility | | $6,396.79 | $6,396.79 | $6,396.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,118.82 / $15,490.32 / $30,168.22
| Facility | | $10,118.82 | $15,490.32 | $30,168.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,766.31 / $18,725.93 / $32,705.01
| Facility | | $14,766.31 | $18,725.93 | $32,705.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,828.36 / $18,344.06 / $45,247.39
| Facility | | $8,828.36 | $18,344.06 | $45,247.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,179.37 / $17,514.25 / $24,615.41
| Facility | | $9,179.37 | $17,514.25 | $24,615.41 |