- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $25,703.96 / $51,286.14
| Facility | | $21,877.62 | $25,703.96 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,387.21 / $32,359.37
| Facility | | $13,489.63 | $22,387.21 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $19,054.61 / $28,840.32
| Facility | | $16,218.10 | $19,054.61 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $15,135.61 / $19,952.62
| Facility | | $12,589.25 | $15,135.61 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,892.96 / $32,359.37
| Facility | | $15,848.93 | $20,892.96 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,378.01 / $21,877.62
| Facility | | $12,302.69 | $17,378.01 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,417.38 / $25,118.86
| Facility | | $15,848.93 | $20,417.38 | $25,118.86 |