- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,908.68 / $34,673.69
| Facility | | $16,595.87 | $22,908.68 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $20,417.38 / $29,512.09
| Facility | | $12,882.50 | $20,417.38 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,952.62 / $35,481.34
| Facility | | $14,125.38 | $19,952.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $223.87 / $338.84
| Facility | | $147.91 | $223.87 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,877.62 / $32,359.37
| Facility | | $14,454.40 | $21,877.62 | $32,359.37 |