- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,487.80 / $16,775.59 / $22,048.80
| Facility | | $11,487.80 | $16,775.59 | $22,048.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,293.03 / $11,293.03 / $13,304.79
| Facility | | $11,293.03 | $11,293.03 | $13,304.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,390.35 / $20,290.58 / $34,041.62
| Facility | | $7,390.35 | $20,290.58 | $34,041.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,091.40 / $16,927.75 / $30,194.33
| Facility | | $12,091.40 | $16,927.75 | $30,194.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,450.04 / $18,804.93 / $27,456.74
| Facility | | $14,450.04 | $18,804.93 | $27,456.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,581.59 / $16,445.25 / $25,634.43
| Facility | | $9,581.59 | $16,445.25 | $25,634.43 |