- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,387.21 / $39,810.72
| Facility | | $16,218.10 | $22,387.21 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,952.62 / $29,512.09
| Facility | | $12,589.25 | $19,952.62 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,054.61 / $34,673.69
| Facility | | $13,182.57 | $19,054.61 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $218.78 / $331.13
| Facility | | $147.91 | $218.78 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $21,877.62 / $31,622.78
| Facility | | $14,125.38 | $21,877.62 | $31,622.78 |