- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,379.62 / $40,738.03
| Facility | | $15,848.93 | $21,379.62 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $17,378.01 / $19,498.45
| Facility | | $14,125.38 | $17,378.01 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $18,620.87 / $31,622.78
| Facility | | $7,943.28 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $15,488.17 / $151,356.12
| Facility | | $15,488.17 | $15,488.17 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $19,498.45 / $34,673.69
| Facility | | $9,772.37 | $19,498.45 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $20,892.96 / $38,904.51
| Facility | | $10,232.93 | $20,892.96 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,620.87 / $35,481.34
| Facility | | $12,302.69 | $18,620.87 | $35,481.34 |