- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,908.68 / $34,673.69
| Facility | | $16,595.87 | $22,908.68 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $29,512.09
| Facility | | $13,182.57 | $20,892.96 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $36,307.81
| Facility | | $14,454.40 | $19,952.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $223.87 / $338.84
| Facility | | $151.36 | $223.87 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,387.21 / $33,113.11
| Facility | | $14,454.40 | $22,387.21 | $33,113.11 |