- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $18,197.01 / $31,622.78
| Facility | | $13,182.57 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $16,218.10 / $23,442.29
| Facility | | $10,232.93 | $16,218.10 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,848.93 / $28,183.83
| Facility | | $11,220.18 | $15,848.93 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $177.83 / $263.03
| Facility | | $120.23 | $177.83 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $17,378.01 / $25,703.96
| Facility | | $11,481.54 | $17,378.01 | $25,703.96 |