- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,566.83 / $17,757.91 / $17,757.91
| Facility | | $15,566.83 | $17,757.91 | $17,757.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,517.71 / $11,517.71 / $11,517.71
| Facility | | $11,517.71 | $11,517.71 | $11,517.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,105.38 / $12,038.84 / $21,364.45
| Facility | | $7,105.38 | $12,038.84 | $21,364.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,368.59 / $20,559.89 / $28,883.00
| Facility | | $12,368.59 | $20,559.89 | $28,883.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,331.54 / $14,177.98 / $20,829.09
| Facility | | $9,331.54 | $14,177.98 | $20,829.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,546.76 / $11,546.76 / $20,094.54
| Facility | | $11,546.76 | $11,546.76 | $20,094.54 |