- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,363.31 / $17,476.20 / $29,014.60
| Facility | | $12,363.31 | $17,476.20 | $29,014.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,197.59 / $14,197.59 / $14,197.59
| Facility | | $14,197.59 | $14,197.59 | $14,197.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,264.87 / $15,713.90 / $26,049.63
| Facility | | $10,264.87 | $15,713.90 | $26,049.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,063.91 / $18,640.34 / $26,802.55
| Facility | | $15,063.91 | $18,640.34 | $26,802.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,006.28 / $18,713.77 / $45,900.49
| Facility | | $9,006.28 | $18,713.77 | $45,900.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,006.28 / $17,426.73 / $24,790.87
| Facility | | $9,006.28 | $17,426.73 | $24,790.87 |