- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,498.45 / $29,512.09
| Facility | | $14,125.38 | $19,498.45 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $17,378.01 / $25,703.96
| Facility | | $11,220.18 | $17,378.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $16,982.44 / $30,199.52
| Facility | | $12,302.69 | $16,982.44 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $190.55 / $288.40
| Facility | | $128.82 | $190.55 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,054.61 / $28,183.83
| Facility | | $12,589.25 | $19,054.61 | $28,183.83 |