- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,703.96 / $40,738.03
| Facility | | $18,620.87 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $21,877.62 / $33,884.42
| Facility | | $14,125.38 | $21,877.62 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $19,952.62 / $38,904.51
| Facility | | $10,964.78 | $19,952.62 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $5,754.40 / $22,908.68
| Facility | | $1,348.96 | $5,754.40 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,982.44 / $28,840.32
| Facility | | $10,715.19 | $16,982.44 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $26,302.68 / $38,018.94
| Facility | | $7,244.36 | $26,302.68 | $38,018.94 |