- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,968.10 / $18,502.59 / $32,372.60
| Facility | | $13,968.10 | $18,502.59 | $32,372.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,222.84 / $12,222.84 / $12,222.84
| Facility | | $12,222.84 | $12,222.84 | $12,222.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $14,705.14 / $29,973.68
| Facility | | $5,939.30 | $14,705.14 | $29,973.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,295.36 / $18,792.24 / $28,903.05
| Facility | | $12,295.36 | $18,792.24 | $28,903.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $19,067.84 / $32,753.29
| Facility | | $3,496.00 | $19,067.84 | $32,753.29 |