- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,573.70 / $22,516.80 / $35,454.19
| Facility | | $16,573.70 | $22,516.80 | $35,454.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,487.20 / $20,212.34 / $30,024.75
| Facility | | $13,487.20 | $20,212.34 | $30,024.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,378.94 / $19,870.40 / $35,857.04
| Facility | | $14,378.94 | $19,870.40 | $35,857.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.33 / $206.06 / $337.38
| Facility | | $144.33 | $206.06 | $337.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,925.22 / $22,039.89 / $36,272.51
| Facility | | $15,925.22 | $22,039.89 | $36,272.51 |