- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $36,307.81
| Facility | | $15,135.61 | $20,892.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,620.87 / $26,915.35
| Facility | | $11,748.98 | $18,620.87 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $18,197.01 / $31,622.78
| Facility | | $12,882.50 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $204.17 / $338.84
| Facility | | $134.90 | $204.17 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,417.38 / $30,902.95
| Facility | | $13,182.57 | $20,417.38 | $30,902.95 |