- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,658.49 / $19,797.59 / $31,876.70
| Facility | | $8,658.49 | $19,797.59 | $31,876.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,078.12 / $17,404.28 / $27,459.04
| Facility | | $15,078.12 | $17,404.28 | $27,459.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,648.91 / $27,915.50
| Facility | | $1,474.01 | $10,648.91 | $27,915.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,330.95 / $20,699.71 / $29,323.63
| Facility | | $14,330.95 | $20,699.71 | $29,323.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,526.82 / $17,361.41 / $36,461.12
| Facility | | $12,526.82 | $17,361.41 | $36,461.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,761.38 / $17,361.41 / $36,931.90
| Facility | | $11,761.38 | $17,361.41 | $36,931.90 |