- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $22,908.68 / $45,708.82
| Facility | | $19,498.45 | $22,908.68 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,952.62 / $30,199.52
| Facility | | $12,302.69 | $19,952.62 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $17,378.01 / $25,703.96
| Facility | | $14,791.08 | $17,378.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $13,803.84 / $17,782.79
| Facility | | $11,220.18 | $13,803.84 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $18,197.01 / $29,512.09
| Facility | | $14,791.08 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $20,417.38
| Facility | | $11,481.54 | $15,848.93 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $18,620.87 / $22,387.21
| Facility | | $14,125.38 | $18,620.87 | $22,387.21 |