- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,865.79 / $19,751.09 / $32,757.80
| Facility | | $14,865.79 | $19,751.09 | $32,757.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,981.80 / $16,229.23 / $17,777.91
| Facility | | $7,981.80 | $16,229.23 | $17,777.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,534.17 / $17,571.09 / $29,270.76
| Facility | | $11,534.17 | $17,571.09 | $29,270.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,007.34 / $21,045.20 / $30,260.42
| Facility | | $17,007.34 | $21,045.20 | $30,260.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,572.50 / $20,216.31 / $51,576.24
| Facility | | $10,572.50 | $20,216.31 | $51,576.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,168.20 / $20,172.33 / $28,351.22
| Facility | | $10,168.20 | $20,172.33 | $28,351.22 |