- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $19,054.61 / $28,840.32
| Facility | | $14,791.08 | $19,054.61 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $5,011.87 / $22,908.68
| Facility | | $2,137.96 | $5,011.87 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $15,135.61 / $22,387.21
| Facility | | $1,621.81 | $15,135.61 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,387.21 / $28,183.83
| Facility | | $16,595.87 | $22,387.21 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $20,417.38 / $32,359.37
| Facility | | $12,589.25 | $20,417.38 | $32,359.37 |