- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $13,489.63 / $15,488.17
| Facility | | $10,471.29 | $13,489.63 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $5,495.41 / $15,488.17
| Facility | | $741.31 | $5,495.41 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,302.69 / $14,791.08
| Facility | | $10,471.29 | $12,302.69 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $15,135.61 / $19,498.45
| Facility | | $9,332.54 | $15,135.61 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $6,309.57 / $17,782.79
| Facility | | $851.14 | $6,309.57 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $14,454.40 / $18,620.87
| Facility | | $1,513.56 | $14,454.40 | $18,620.87 |