- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $26,302.68 / $38,018.94
| Facility | | $14,791.08 | $26,302.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $22,387.21 / $32,359.37
| Facility | | $7,943.28 | $22,387.21 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $12,022.64 / $25,118.86
| Facility | | $12,022.64 | $12,022.64 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $26,302.68 / $33,113.11
| Facility | | $12,022.64 | $26,302.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $15,135.61 / $26,302.68
| Facility | | $6,456.54 | $15,135.61 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $24,547.09 / $36,307.81
| Facility | | $14,454.40 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $13,489.63 / $19,498.45
| Facility | | $11,481.54 | $13,489.63 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $19,498.45 / $33,884.42
| Facility | | $5,370.32 | $19,498.45 | $33,884.42 |