- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,252.61 / $12,704.80 / $22,322.20
| Facility | | $6,252.61 | $12,704.80 | $22,322.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,302.14 / $19,480.77 / $26,986.16
| Facility | | $13,302.14 | $19,480.77 | $26,986.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,167.97 / $17,913.88 / $28,642.41
| Facility | | $14,167.97 | $17,913.88 | $28,642.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,043.31 / $19,298.46 / $40,469.49
| Facility | | $10,043.31 | $19,298.46 | $40,469.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,167.97 / $19,171.02 / $28,649.48
| Facility | | $14,167.97 | $19,171.02 | $28,649.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,761.06 / $15,806.00 / $24,640.33
| Facility | | $4,761.06 | $15,806.00 | $24,640.33 |