- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $14,791.08 / $33,113.11
| Facility | | $10,232.93 | $14,791.08 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $14,454.40 / $23,442.29
| Facility | | $13,803.84 | $14,454.40 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,715.19 / $24,547.09
| Facility | | $7,079.46 | $10,715.19 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $17,378.01 / $20,892.96
| Facility | | $12,022.64 | $17,378.01 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $22,908.68 / $34,673.69
| Facility | | $6,918.31 | $22,908.68 | $34,673.69 |