- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,487.50 / $22,399.60 / $35,269.69
| Facility | | $16,487.50 | $22,399.60 | $35,269.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,047.51 / $19,984.43 / $29,794.26
| Facility | | $13,047.51 | $19,984.43 | $29,794.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,383.19 / $19,856.84 / $35,940.00
| Facility | | $14,383.19 | $19,856.84 | $35,940.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.52 / $186.34 / $305.11
| Facility | | $130.52 | $186.34 | $305.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,520.35 / $21,506.50 / $34,757.57
| Facility | | $14,520.35 | $21,506.50 | $34,757.57 |