- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,701.10 / $20,629.59 / $32,406.50
| Facility | | $14,701.10 | $20,629.59 | $32,406.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,830.52 / $18,157.06 / $26,633.25
| Facility | | $11,830.52 | $18,157.06 | $26,633.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,824.81 / $17,705.41 / $32,046.00
| Facility | | $12,824.81 | $17,705.41 | $32,046.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.02 / $184.00 / $299.26
| Facility | | $128.02 | $184.00 | $299.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,235.98 / $18,838.24 / $30,410.05
| Facility | | $13,235.98 | $18,838.24 | $30,410.05 |