- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $18,197.01 / $23,988.33
| Facility | | $15,135.61 | $18,197.01 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,302.69 / $12,302.69
| Facility | | $12,302.69 | $12,302.69 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $17,378.01 / $28,840.32
| Facility | | $7,413.10 | $17,378.01 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,417.38 / $30,199.52
| Facility | | $15,488.17 | $20,417.38 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $18,620.87 / $30,902.95
| Facility | | $9,772.37 | $18,620.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $17,378.01 / $26,915.35
| Facility | | $10,964.78 | $17,378.01 | $26,915.35 |