- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,243.80 / $20,800.09 / $27,338.50
| Facility | | $14,243.80 | $20,800.09 | $27,338.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,386.60 / $16,799.72 / $23,709.94
| Facility | | $15,386.60 | $16,799.72 | $23,709.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,872.52 / $18,868.84 / $31,656.38
| Facility | | $6,872.52 | $18,868.84 | $31,656.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,469.71 / $20,892.56 / $34,969.43
| Facility | | $14,469.71 | $20,892.56 | $34,969.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,916.71 / $23,316.38 / $34,043.81
| Facility | | $17,916.71 | $23,316.38 | $34,043.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,880.29 / $19,910.45 / $31,784.32
| Facility | | $11,880.29 | $19,910.45 | $31,784.32 |