- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $61,659.50
| Facility | | $15,488.17 | $24,547.09 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,498.45 / $30,199.52
| Facility | | $12,589.25 | $19,498.45 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $22,908.68 / $33,884.42
| Facility | | $14,125.38 | $22,908.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,498.45 / $31,622.78
| Facility | | $12,302.69 | $19,498.45 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $14,125.38 / $23,988.33
| Facility | | $8,912.51 | $14,125.38 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $26,915.35 / $41,686.94
| Facility | | $10,232.93 | $26,915.35 | $41,686.94 |