- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,219.10 / $23,366.10 / $37,622.30
| Facility | | $10,219.10 | $23,366.10 | $37,622.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,689.15 / $30,683.13
| Facility | | $1,474.01 | $9,689.15 | $30,683.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,914.02 / $24,430.71 / $34,609.04
| Facility | | $16,914.02 | $24,430.71 | $34,609.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,784.71 / $24,999.95 / $42,320.01
| Facility | | $14,784.71 | $24,999.95 | $42,320.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,784.71 / $25,710.00 / $40,278.00
| Facility | | $14,784.71 | $25,710.00 | $40,278.00 |