- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,606.80 / $22,561.60 / $35,524.90
| Facility | | $16,606.80 | $22,561.60 | $35,524.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,141.90 / $20,129.00 / $30,009.80
| Facility | | $13,141.90 | $20,129.00 | $30,009.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,487.24 / $20,320.87 / $37,210.00
| Facility | | $14,487.24 | $20,320.87 | $37,210.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.62 / $212.11 / $338.05
| Facility | | $144.62 | $212.11 | $338.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,956.96 / $22,083.81 / $36,344.80
| Facility | | $15,956.96 | $22,083.81 | $36,344.80 |