- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $23,442.29 / $47,863.01
| Facility | | $19,952.62 | $23,442.29 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $20,417.38 / $28,840.32
| Facility | | $12,589.25 | $20,417.38 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $17,782.79 / $26,915.35
| Facility | | $15,488.17 | $17,782.79 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $15,135.61 / $19,498.45
| Facility | | $11,748.98 | $15,135.61 | $19,498.45 |
- 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
- $10,964.78 / $15,848.93 / $20,417.38
| Facility | | $10,964.78 | $15,848.93 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $19,054.61 / $22,908.68
| Facility | | $14,791.08 | $19,054.61 | $22,908.68 |