- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,687.22 / $24,390.60 / $40,494.19
| Facility | | $18,687.22 | $24,390.60 | $40,494.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,690.06 / $20,195.11 / $22,990.56
| Facility | | $12,690.06 | $20,195.11 | $22,990.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,750.85 / $22,581.22 / $38,165.58
| Facility | | $14,750.85 | $22,581.22 | $38,165.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,661.00 / $23,742.35 / $37,406.94
| Facility | | $9,661.00 | $23,742.35 | $37,406.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,069.38 / $24,936.37 / $41,868.00
| Facility | | $13,069.38 | $24,936.37 | $41,868.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,569.60 / $24,156.39 / $35,046.83
| Facility | | $12,569.60 | $24,156.39 | $35,046.83 |