- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $21,379.62 / $43,651.58
| Facility | | $18,620.87 | $21,379.62 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,054.61 / $25,118.86
| Facility | | $11,481.54 | $19,054.61 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $16,595.87 / $25,703.96
| Facility | | $13,182.57 | $16,595.87 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $11,220.18 / $14,125.38
| Facility | | $10,471.29 | $11,220.18 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $16,595.87 / $25,118.86
| Facility | | $12,589.25 | $16,595.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $13,489.63 / $18,197.01
| Facility | | $9,549.93 | $13,489.63 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $17,378.01 / $21,379.62
| Facility | | $13,489.63 | $17,378.01 | $21,379.62 |