- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $14,791.08 / $31,622.78
| Facility | | $6,456.54 | $14,791.08 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $26,302.68 / $33,113.11
| Facility | | $17,782.79 | $26,302.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,498.45 / $26,915.35
| Facility | | $14,454.40 | $19,498.45 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $19,952.62 / $50,118.72
| Facility | | $11,220.18 | $19,952.62 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $8,128.31 / $9,332.54
| Facility | | $6,606.93 | $8,128.31 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $15,848.93 / $26,915.35
| Facility | | $5,754.40 | $15,848.93 | $26,915.35 |