- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,877.62 / $33,113.11
| Facility | | $15,848.93 | $21,877.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,498.45 / $28,183.83
| Facility | | $12,302.69 | $19,498.45 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,054.61 / $33,884.42
| Facility | | $13,489.63 | $19,054.61 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $213.80 / $316.23
| Facility | | $141.25 | $213.80 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $20,892.96 / $30,902.95
| Facility | | $13,803.84 | $20,892.96 | $30,902.95 |