- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $18,620.87 / $31,622.78
| Facility | | $14,791.08 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $16,982.44 / $28,840.32
| Facility | | $7,244.36 | $16,982.44 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $20,892.96 / $151,356.12
| Facility | | $16,595.87 | $20,892.96 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $19,952.62 / $31,622.78
| Facility | | $15,135.61 | $19,952.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $17,782.79 / $30,199.52
| Facility | | $8,912.51 | $17,782.79 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,595.87 / $25,703.96
| Facility | | $10,715.19 | $16,595.87 | $25,703.96 |