- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,442.29 / $35,481.34
| Facility | | $16,982.44 | $23,442.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $30,199.52
| Facility | | $13,182.57 | $20,892.96 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,417.38 / $36,307.81
| Facility | | $14,791.08 | $20,417.38 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $229.09 / $346.74
| Facility | | $151.36 | $229.09 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,387.21 / $33,884.42
| Facility | | $14,791.08 | $22,387.21 | $33,884.42 |