- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,550.80 / $22,485.60 / $35,405.10
| Facility | | $16,550.80 | $22,485.60 | $35,405.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,472.27 / $20,193.15 / $29,991.50
| Facility | | $13,472.27 | $20,193.15 | $29,991.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,906.27 / $19,322.00 / $35,807.42
| Facility | | $13,906.27 | $19,322.00 | $35,807.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.13 / $205.77 / $336.91
| Facility | | $144.13 | $205.77 | $336.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,903.18 / $22,009.38 / $36,222.31
| Facility | | $15,903.18 | $22,009.38 | $36,222.31 |