- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,560.10 / $22,891.60 / $40,282.69
| Facility | | $13,560.10 | $22,891.60 | $40,282.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,386.50 / $21,584.69 / $35,214.35
| Facility | | $14,386.50 | $21,584.69 | $35,214.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,335.01 / $20,790.02 / $29,054.63
| Facility | | $12,335.01 | $20,790.02 | $29,054.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,699.45 / $42,699.45 / $50,111.43
| Facility | | $42,699.45 | $42,699.45 | $50,111.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $18,655.03 / $28,343.58
| Facility | | $2,520.00 | $18,655.03 | $28,343.58 |