- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,527.60 / $24,779.30 / $35,084.80
| Facility | | $13,527.60 | $24,779.30 | $35,084.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,200.03 / $24,520.59 / $38,581.90
| Facility | | $15,200.03 | $24,520.59 | $38,581.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,064.60 / $22,290.26 / $39,657.91
| Facility | | $14,064.60 | $22,290.26 | $39,657.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $20,927.90 / $46,895.55
| Facility | | $7,117.00 | $20,927.90 | $46,895.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $20,572.66 / $41,673.83
| Facility | | $3,308.00 | $20,572.66 | $41,673.83 |