- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $31,622.78
| Facility | | $15,135.61 | $20,892.96 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $18,620.87 / $27,542.29
| Facility | | $12,022.64 | $18,620.87 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $18,197.01 / $32,359.37
| Facility | | $13,182.57 | $18,197.01 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $204.17 / $309.03
| Facility | | $138.04 | $204.17 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,417.38 / $29,512.09
| Facility | | $13,182.57 | $20,417.38 | $29,512.09 |