- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $15,848.93 / $64,565.42
| Facility | | $13,182.57 | $15,848.93 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $15,135.61 / $26,302.68
| Facility | | $6,456.54 | $15,135.61 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $17,782.79 / $26,915.35
| Facility | | $13,489.63 | $17,782.79 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $16,595.87 / $31,622.78
| Facility | | $8,709.64 | $16,595.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $15,135.61 / $22,908.68
| Facility | | $9,549.93 | $15,135.61 | $22,908.68 |