- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,204.90 / $18,246.09 / $30,261.70
| Facility | | $14,204.90 | $18,246.09 | $30,261.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,462.00 / $16,492.14 / $24,463.69
| Facility | | $13,462.00 | $16,492.14 | $24,463.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,827.93 / $17,210.87 / $30,403.62
| Facility | | $11,827.93 | $17,210.87 | $30,403.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,711.39 / $19,924.43 / $32,716.00
| Facility | | $15,711.39 | $19,924.43 | $32,716.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,766.87 / $19,518.12 / $31,288.38
| Facility | | $9,766.87 | $19,518.12 | $31,288.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,393.39 / $18,635.20 / $26,190.85
| Facility | | $9,393.39 | $18,635.20 | $26,190.85 |