- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $21,379.62 / $22,387.21
| Facility | | $18,197.01 | $21,379.62 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $22,908.68 / $33,113.11
| Facility | | $13,182.57 | $22,908.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,054.61 / $33,884.42
| Facility | | $13,803.84 | $19,054.61 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $17,782.79 / $22,908.68
| Facility | | $15,848.93 | $17,782.79 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $34,673.69
| Facility | | $13,182.57 | $20,892.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $13,489.63 / $17,782.79
| Facility | | $151.36 | $13,489.63 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $24,547.09 / $25,703.96
| Facility | | $19,498.45 | $24,547.09 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $22,908.68 / $30,902.95
| Facility | | $13,182.57 | $22,908.68 | $30,902.95 |