- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $24,547.09 / $34,673.69
| Facility | | $16,218.10 | $24,547.09 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,481.54 / $14,791.08
| Facility | | $9,772.37 | $11,481.54 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,387.21 / $37,153.52
| Facility | | $8,317.64 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $33,884.42
| Facility | | $14,454.40 | $19,952.62 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $22,387.21 / $33,113.11
| Facility | | $18,197.01 | $22,387.21 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,877.62 / $31,622.78
| Facility | | $11,481.54 | $21,877.62 | $31,622.78 |