- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $19,498.45 / $25,703.96
| Facility | | $16,982.44 | $19,498.45 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $20,417.38 / $35,481.34
| Facility | | $8,709.64 | $20,417.38 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $24,547.09 / $26,915.35
| Facility | | $19,952.62 | $24,547.09 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $23,442.29 / $32,359.37
| Facility | | $18,197.01 | $23,442.29 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $22,387.21 / $36,307.81
| Facility | | $10,964.78 | $22,387.21 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $20,417.38 / $30,902.95
| Facility | | $12,882.50 | $20,417.38 | $30,902.95 |