- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $21,877.62 / $43,651.58
| Facility | | $18,620.87 | $21,877.62 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,054.61 / $29,512.09
| Facility | | $11,481.54 | $19,054.61 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $16,595.87 / $25,703.96
| Facility | | $14,454.40 | $16,595.87 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $14,125.38 / $18,197.01
| Facility | | $11,220.18 | $14,125.38 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,054.61 / $28,840.32
| Facility | | $14,454.40 | $19,054.61 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $19,498.45
| Facility | | $11,220.18 | $15,488.17 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $17,378.01 / $21,379.62
| Facility | | $13,489.63 | $17,378.01 | $21,379.62 |