- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,379.62 / $64,565.42
| Facility | | $15,848.93 | $21,379.62 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $4,786.30 / $19,054.61
| Facility | | $4,786.30 | $4,786.30 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $18,620.87 / $31,622.78
| Facility | | $7,943.28 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $21,379.62 / $30,902.95
| Facility | | $16,218.10 | $21,379.62 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $20,417.38 / $32,359.37
| Facility | | $9,772.37 | $20,417.38 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $18,197.01 / $28,183.83
| Facility | | $11,481.54 | $18,197.01 | $28,183.83 |