- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,908.68 / $29,512.09
| Facility | | $16,218.10 | $22,908.68 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $4,677.35 / $20,417.38
| Facility | | $4,677.35 | $4,677.35 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,952.62 / $26,302.68
| Facility | | $11,481.54 | $19,952.62 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $23,988.33 / $33,113.11
| Facility | | $12,589.25 | $23,988.33 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $11,481.54 / $21,379.62
| Facility | | $2,187.76 | $11,481.54 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $23,988.33 / $33,113.11
| Facility | | $11,748.98 | $23,988.33 | $33,113.11 |