- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $23,442.29 / $36,307.81
| Facility | | $16,595.87 | $23,442.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,498.45 / $30,902.95
| Facility | | $13,489.63 | $19,498.45 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $24,547.09 / $36,307.81
| Facility | | $15,135.61 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $33,884.42
| Facility | | $13,182.57 | $20,892.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $15,135.61 / $25,703.96
| Facility | | $9,549.93 | $15,135.61 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $24,547.09 / $34,673.69
| Facility | | $8,709.64 | $24,547.09 | $34,673.69 |