- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,318.40 / $18,454.50 / $37,504.30
| Facility | | $14,318.40 | $18,454.50 | $37,504.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,170.09 / $22,715.54 / $36,287.86
| Facility | | $18,170.09 | $22,715.54 | $36,287.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,471.22 / $18,139.98 / $20,738.68
| Facility | | $14,471.22 | $18,139.98 | $20,738.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,429.13 / $20,230.75 / $26,310.98
| Facility | | $11,429.13 | $20,230.75 | $26,310.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,895.59 / $22,944.94 / $41,731.04
| Facility | | $20,895.59 | $22,944.94 | $41,731.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $18,382.52 / $25,843.43
| Facility | | $1,518.00 | $18,382.52 | $25,843.43 |