- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,387.21 / $37,153.52
| Facility | | $14,791.08 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $17,782.79 / $29,512.09
| Facility | | $12,882.50 | $17,782.79 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $13,489.63 / $16,982.44
| Facility | | $10,964.78 | $13,489.63 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,498.45 / $28,183.83
| Facility | | $12,302.69 | $19,498.45 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $18,197.01 / $25,118.86
| Facility | | $13,489.63 | $18,197.01 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $19,952.62 / $28,183.83
| Facility | | $6,918.31 | $19,952.62 | $28,183.83 |