- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,680.55 / $18,708.50 / $49,706.60
| Facility | | $12,680.55 | $18,708.50 | $49,706.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,559.46 / $15,392.61 / $17,413.47
| Facility | | $11,559.46 | $15,392.61 | $17,413.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,082.79 / $16,602.66 / $28,125.27
| Facility | | $11,082.79 | $16,602.66 | $28,125.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,109.52 / $19,994.00 / $29,492.00
| Facility | | $16,109.52 | $19,994.00 | $29,492.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,014.37 / $19,765.97 / $49,557.85
| Facility | | $10,014.37 | $19,765.97 | $49,557.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,014.37 / $17,621.50 / $26,511.66
| Facility | | $10,014.37 | $17,621.50 | $26,511.66 |