- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,413.73 / $18,423.09 / $31,105.50
| Facility | | $8,413.73 | $18,423.09 | $31,105.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,214.20 / $26,988.18 / $37,385.96
| Facility | | $18,214.20 | $26,988.18 | $37,385.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,365.82 / $26,262.41 / $38,551.75
| Facility | | $18,365.82 | $26,262.41 | $38,551.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,514.63 / $25,968.69 / $54,457.16
| Facility | | $13,514.63 | $25,968.69 | $54,457.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,365.82 / $28,593.47 / $38,764.28
| Facility | | $18,365.82 | $28,593.47 | $38,764.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $24,182.74 / $36,354.47
| Facility | | $5,281.00 | $24,182.74 | $36,354.47 |