- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,703.96 / $42,657.95
| Facility | | $16,982.44 | $25,703.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $13,489.63 / $18,197.01
| Facility | | $10,715.19 | $13,489.63 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $19,952.62 / $33,884.42
| Facility | | $14,791.08 | $19,952.62 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $17,378.01 / $22,387.21
| Facility | | $13,803.84 | $17,378.01 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,877.62 / $32,359.37
| Facility | | $13,803.84 | $21,877.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,892.96 / $28,183.83
| Facility | | $15,488.17 | $20,892.96 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $22,908.68 / $31,622.78
| Facility | | $7,943.28 | $22,908.68 | $31,622.78 |