- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $18,620.87 / $33,113.11
| Facility | | $13,489.63 | $18,620.87 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,595.87 / $24,547.09
| Facility | | $10,471.29 | $16,595.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $16,218.10 / $28,840.32
| Facility | | $11,481.54 | $16,218.10 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $181.97 / $275.42
| Facility | | $123.03 | $181.97 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,197.01 / $26,302.68
| Facility | | $11,748.98 | $18,197.01 | $26,302.68 |