- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $20,417.38 / $31,622.78
| Facility | | $14,454.40 | $20,417.38 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $16,595.87 / $23,988.33
| Facility | | $10,964.78 | $16,595.87 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $24,547.09 / $35,481.34
| Facility | | $22,387.21 | $24,547.09 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $22,908.68 / $31,622.78
| Facility | | $20,892.96 | $22,908.68 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $13,489.63 / $17,378.01
| Facility | | $8,511.38 | $13,489.63 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $22,387.21 / $30,902.95
| Facility | | $8,709.64 | $22,387.21 | $30,902.95 |