- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,654.44 / $14,207.10 / $23,756.80
| Facility | | $6,654.44 | $14,207.10 | $23,756.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,673.27 / $24,586.93 / $33,516.00
| Facility | | $16,673.27 | $24,586.93 | $33,516.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,646.00 / $19,065.13 / $30,483.14
| Facility | | $14,646.00 | $19,065.13 | $30,483.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,593.06 / $20,538.68 / $40,505.35
| Facility | | $11,593.06 | $20,538.68 | $40,505.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,046.23 / $8,046.23 / $8,046.23
| Facility | | $8,046.23 | $8,046.23 | $8,046.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,078.49 / $20,403.06 / $30,490.66
| Facility | | $15,078.49 | $20,403.06 | $30,490.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,855.15 / $16,474.27 / $28,314.61
| Facility | | $6,855.15 | $16,474.27 | $28,314.61 |