- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,679.44 / $21,321.80 / $35,399.19
| Facility | | $14,679.44 | $21,321.80 | $35,399.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,485.50 / $16,524.49 / $19,233.05
| Facility | | $11,485.50 | $16,524.49 | $19,233.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,645.58 / $18,943.82 / $32,091.23
| Facility | | $12,645.58 | $18,943.82 | $32,091.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,378.71 / $22,742.15 / $32,700.43
| Facility | | $18,378.71 | $22,742.15 | $32,700.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,988.11 / $22,831.72 / $56,546.02
| Facility | | $10,988.11 | $22,831.72 | $56,546.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,988.11 / $21,572.23 / $30,246.09
| Facility | | $10,988.11 | $21,572.23 | $30,246.09 |