- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,759.23 / $22,680.60 / $37,616.50
| Facility | | $16,759.23 | $22,680.60 | $37,616.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,372.01 / $17,761.20 / $23,529.55
| Facility | | $12,372.01 | $17,761.20 | $23,529.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,934.00 / $20,443.11 / $34,631.06
| Facility | | $11,934.00 | $20,443.11 | $34,631.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,529.90 / $24,166.64 / $34,748.68
| Facility | | $19,529.90 | $24,166.64 | $34,748.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,676.37 / $24,261.83 / $61,021.31
| Facility | | $11,676.37 | $24,261.83 | $61,021.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,676.37 / $23,164.31 / $32,556.30
| Facility | | $11,676.37 | $23,164.31 | $32,556.30 |