- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $18,197.01 / $36,307.81
| Facility | | $15,488.17 | $18,197.01 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $15,848.93 / $26,302.68
| Facility | | $9,549.93 | $15,848.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $14,454.40 / $20,417.38
| Facility | | $11,748.98 | $14,454.40 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,220.18 / $14,125.38
| Facility | | $9,772.37 | $11,220.18 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $16,595.87 / $26,302.68
| Facility | | $13,182.57 | $16,595.87 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $14,791.08 / $19,952.62
| Facility | | $10,232.93 | $14,791.08 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $14,791.08 / $17,782.79
| Facility | | $11,220.18 | $14,791.08 | $17,782.79 |