- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $16,595.87 / $141,253.75
| Facility | | $11,748.98 | $16,595.87 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $14,125.38 / $26,302.68
| Facility | | $11,481.54 | $14,125.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $13,182.57 / $25,118.86
| Facility | | $5,495.41 | $13,182.57 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $16,982.44 / $23,442.29
| Facility | | $8,128.31 | $16,982.44 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $25,118.86 / $38,904.51
| Facility | | $6,918.31 | $25,118.86 | $38,904.51 |