- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,848.93 / $36,307.81
| Facility | | $11,220.18 | $15,848.93 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $14,454.40 / $15,135.61
| Facility | | $11,748.98 | $14,454.40 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,218.10 / $31,622.78
| Facility | | $10,471.29 | $16,218.10 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,054.61 / $33,113.11
| Facility | | $13,182.57 | $19,054.61 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $23,988.33 / $38,018.94
| Facility | | $6,918.31 | $23,988.33 | $38,018.94 |