- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $23,988.33 / $36,307.81
| Facility | | $17,378.01 | $23,988.33 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $21,379.62 / $30,902.95
| Facility | | $13,489.63 | $21,379.62 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,892.96 / $37,153.52
| Facility | | $14,791.08 | $20,892.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $234.42 / $354.81
| Facility | | $151.36 | $234.42 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,442.29 / $33,884.42
| Facility | | $15,135.61 | $23,442.29 | $33,884.42 |