- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,379.62 / $34,673.69
| Facility | | $14,454.40 | $21,379.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $15,135.61 / $26,302.68
| Facility | | $7,413.10 | $15,135.61 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,908.68 / $41,686.94
| Facility | | $13,489.63 | $22,908.68 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $19,952.62 / $34,673.69
| Facility | | $8,128.31 | $19,952.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,498.45 / $44,668.36
| Facility | | $13,182.57 | $19,498.45 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $18,197.01 / $40,738.03
| Facility | | $5,888.44 | $18,197.01 | $40,738.03 |