- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,113.70 / $24,050.20 / $47,582.00
| Facility | | $13,113.70 | $24,050.20 | $47,582.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $17,083.91 / $21,519.88
| Facility | | $11,231.00 | $17,083.91 | $21,519.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,577.84 / $19,100.73 / $32,256.86
| Facility | | $10,577.84 | $19,100.73 | $32,256.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,005.82 / $18,783.50 / $34,556.89
| Facility | | $10,005.82 | $18,783.50 | $34,556.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $17,718.64 / $24,036.05
| Facility | | $6,289.00 | $17,718.64 | $24,036.05 |