- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,514.50 / $21,195.50 / $30,681.20
| Facility | | $14,514.50 | $21,195.50 | $30,681.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,968.60 / $15,170.98 / $26,976.34
| Facility | | $10,968.60 | $15,170.98 | $26,976.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,058.25 / $16,498.90 / $27,905.66
| Facility | | $6,058.25 | $16,498.90 | $27,905.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,430.22 / $21,461.02 / $38,149.73
| Facility | | $15,430.22 | $21,461.02 | $38,149.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,257.24 / $23,759.53 / $34,690.85
| Facility | | $18,257.24 | $23,759.53 | $34,690.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,257.24 / $22,087.65 / $34,690.85
| Facility | | $18,257.24 | $22,087.65 | $34,690.85 |