- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $21,379.62 / $25,703.96
| Facility | | $16,595.87 | $21,379.62 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $11,748.98 / $16,218.10
| Facility | | $11,748.98 | $11,748.98 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $22,908.68 / $38,904.51
| Facility | | $9,772.37 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,915.35 / $36,307.81
| Facility | | $19,498.45 | $26,915.35 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $24,547.09 / $40,738.03
| Facility | | $12,882.50 | $24,547.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,387.21 / $35,481.34
| Facility | | $14,454.40 | $22,387.21 | $35,481.34 |