- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,911.31 / $22,600.40 / $36,179.90
| Facility | | $14,911.31 | $22,600.40 | $36,179.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,465.23 / $14,465.23 / $14,465.23
| Facility | | $14,465.23 | $14,465.23 | $14,465.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,094.10 / $17,691.03 / $25,105.59
| Facility | | $9,094.10 | $17,691.03 | $25,105.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,457.49 / $18,029.08 / $31,589.34
| Facility | | $13,457.49 | $18,029.08 | $31,589.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,068.36 / $20,418.11 / $27,360.87
| Facility | | $13,068.36 | $20,418.11 | $27,360.87 |