- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $19,952.62 / $39,810.72
| Facility | | $16,982.44 | $19,952.62 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $17,378.01 / $27,542.29
| Facility | | $10,715.19 | $17,378.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $15,488.17 / $22,908.68
| Facility | | $13,182.57 | $15,488.17 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,589.25 / $16,218.10
| Facility | | $10,471.29 | $12,589.25 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $17,378.01 / $26,302.68
| Facility | | $13,489.63 | $17,378.01 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $18,197.01
| Facility | | $10,471.29 | $14,454.40 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $16,218.10 / $19,498.45
| Facility | | $12,302.69 | $16,218.10 | $19,498.45 |