- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $16,982.44 / $21,877.62
| Facility | | $14,791.08 | $16,982.44 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,135.61 / $19,952.62
| Facility | | $10,715.19 | $15,135.61 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $17,782.79 / $30,199.52
| Facility | | $7,585.78 | $17,782.79 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,417.38 / $28,183.83
| Facility | | $15,488.17 | $20,417.38 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $19,498.45 / $31,622.78
| Facility | | $9,332.54 | $19,498.45 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $17,782.79 / $26,915.35
| Facility | | $11,220.18 | $17,782.79 | $26,915.35 |