- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $20,417.38 / $36,307.81
| Facility | | $16,218.10 | $20,417.38 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $15,135.61 / $15,135.61
| Facility | | $15,135.61 | $15,135.61 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $18,620.87 / $31,622.78
| Facility | | $7,943.28 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $21,379.62 / $33,884.42
| Facility | | $16,595.87 | $21,379.62 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $19,498.45 / $33,113.11
| Facility | | $9,772.37 | $19,498.45 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,197.01 / $28,183.83
| Facility | | $11,748.98 | $18,197.01 | $28,183.83 |