- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,846.50 / $13,979.60 / $28,410.30
| Facility | | $10,846.50 | $13,979.60 | $28,410.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,127.55 / $15,976.45 / $18,859.15
| Facility | | $15,127.55 | $15,976.45 | $18,859.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,744.43 / $13,468.37 / $15,397.83
| Facility | | $10,744.43 | $13,468.37 | $15,397.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,657.79 / $15,325.20 / $19,931.08
| Facility | | $8,657.79 | $15,325.20 | $19,931.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,396.68 / $18,372.91 / $21,688.02
| Facility | | $17,396.68 | $18,372.91 | $21,688.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $13,925.12 / $19,576.90
| Facility | | $1,518.00 | $13,925.12 | $19,576.90 |