- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,645.80 / $22,612.40 / $34,429.90
| Facility | | $15,645.80 | $22,612.40 | $34,429.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,274.57 / $21,862.82 / $32,596.28
| Facility | | $14,274.57 | $21,862.82 | $32,596.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,502.58 / $16,516.91 / $20,160.47
| Facility | | $13,502.58 | $16,516.91 | $20,160.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $248.07 / $1,105.04
| Facility | | $150.00 | $248.07 | $1,105.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,334.90 / $23,990.83 / $39,483.30
| Facility | | $17,334.90 | $23,990.83 | $39,483.30 |