- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $22,387.21 / $34,673.69
| Facility | | $15,848.93 | $22,387.21 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,054.61 / $29,512.09
| Facility | | $13,182.57 | $19,054.61 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $19,054.61 / $33,113.11
| Facility | | $9,549.93 | $19,054.61 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $18,197.01 / $31,622.78
| Facility | | $7,585.78 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,791.08 / $25,118.86
| Facility | | $9,332.54 | $14,791.08 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $23,988.33 / $33,884.42
| Facility | | $8,511.38 | $23,988.33 | $33,884.42 |