- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,892.96 / $41,686.94
| Facility | | $17,782.79 | $20,892.96 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $18,197.01 / $27,542.29
| Facility | | $11,220.18 | $18,197.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $16,218.10 / $23,442.29
| Facility | | $13,489.63 | $16,218.10 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $13,182.57 / $16,982.44
| Facility | | $10,964.78 | $13,182.57 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $17,782.79 / $27,542.29
| Facility | | $13,803.84 | $17,782.79 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,135.61 / $19,498.45
| Facility | | $10,471.29 | $15,135.61 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $16,982.44 / $20,417.38
| Facility | | $12,882.50 | $16,982.44 | $20,417.38 |