- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,428.70 / $20,961.09 / $33,004.80
| Facility | | $15,428.70 | $20,961.09 | $33,004.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,421.31 / $19,063.78 / $27,963.25
| Facility | | $12,421.31 | $19,063.78 | $27,963.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,459.53 / $18,581.68 / $33,632.00
| Facility | | $13,459.53 | $18,581.68 | $33,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.36 / $191.82 / $314.07
| Facility | | $134.36 | $191.82 | $314.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,824.99 / $20,517.20 / $33,766.53
| Facility | | $14,824.99 | $20,517.20 | $33,766.53 |