- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,148.20 / $16,946.20 / $34,439.19
| Facility | | $13,148.20 | $16,946.20 | $34,439.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,351.71 / $19,879.14 / $19,995.25
| Facility | | $18,351.71 | $19,879.14 | $19,995.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,651.49 / $15,858.91 / $18,130.83
| Facility | | $12,651.49 | $15,858.91 | $18,130.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,495.06 / $18,577.34 / $24,160.65
| Facility | | $10,495.06 | $18,577.34 | $24,160.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,142.48 / $21,104.47 / $23,854.97
| Facility | | $13,142.48 | $21,104.47 | $23,854.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $16,880.16 / $23,731.30
| Facility | | $1,518.00 | $16,880.16 | $23,731.30 |