- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,229.73 / $19,029.40 / $32,716.90
| Facility | | $8,229.73 | $19,029.40 | $32,716.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,491.05 / $25,615.36 / $33,215.24
| Facility | | $17,491.05 | $25,615.36 | $33,215.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,970.25 / $27,126.73 / $39,820.51
| Facility | | $18,970.25 | $27,126.73 | $39,820.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,959.41 / $26,823.34 / $56,249.39
| Facility | | $13,959.41 | $26,823.34 | $56,249.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,970.25 / $29,534.51 / $40,040.05
| Facility | | $18,970.25 | $29,534.51 | $40,040.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.95 / $24,978.61 / $37,550.93
| Facility | | $5,495.95 | $24,978.61 | $37,550.93 |