- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,915.35 / $36,307.81
| Facility | | $16,595.87 | $26,915.35 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,379.62 / $32,359.37
| Facility | | $13,803.84 | $21,379.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,118.86 / $37,153.52
| Facility | | $15,488.17 | $25,118.86 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,988.33 / $39,810.72
| Facility | | $15,135.61 | $23,988.33 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,488.17 / $26,302.68
| Facility | | $9,772.37 | $15,488.17 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $25,703.96 / $36,307.81
| Facility | | $10,471.29 | $25,703.96 | $36,307.81 |