- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $21,379.62 / $43,651.58
| Facility | | $18,197.01 | $21,379.62 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $18,620.87 / $28,840.32
| Facility | | $11,481.54 | $18,620.87 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $16,595.87 / $24,547.09
| Facility | | $13,803.84 | $16,595.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $13,182.57 / $16,982.44
| Facility | | $11,220.18 | $13,182.57 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $17,782.79 / $28,183.83
| Facility | | $14,125.38 | $17,782.79 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,135.61 / $19,054.61
| Facility | | $10,964.78 | $15,135.61 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $17,378.01 / $21,379.62
| Facility | | $13,489.63 | $17,378.01 | $21,379.62 |