- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,818.52 / $19,445.09 / $32,283.40
| Facility | | $14,818.52 | $19,445.09 | $32,283.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,057.87 / $17,057.87 / $17,057.87
| Facility | | $17,057.87 | $17,057.87 | $17,057.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,217.84 / $18,303.05 / $31,005.75
| Facility | | $12,217.84 | $18,303.05 | $31,005.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,761.02 / $20,740.39 / $29,822.15
| Facility | | $16,761.02 | $20,740.39 | $29,822.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,020.94 / $20,822.08 / $54,633.37
| Facility | | $10,020.94 | $20,822.08 | $54,633.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,020.94 / $19,880.16 / $27,940.60
| Facility | | $10,020.94 | $19,880.16 | $27,940.60 |