- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $19,054.61 / $38,904.51
| Facility | | $16,595.87 | $19,054.61 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $16,982.44 / $25,703.96
| Facility | | $10,232.93 | $16,982.44 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $15,135.61 / $22,387.21
| Facility | | $12,302.69 | $15,135.61 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,220.18 / $14,454.40
| Facility | | $9,772.37 | $11,220.18 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $15,848.93 / $25,703.96
| Facility | | $12,882.50 | $15,848.93 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $13,803.84 / $17,782.79
| Facility | | $9,772.37 | $13,803.84 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $15,488.17 / $19,054.61
| Facility | | $12,022.64 | $15,488.17 | $19,054.61 |