- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,407.10 / $22,633.50 / $39,828.40
| Facility | | $13,407.10 | $22,633.50 | $39,828.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,521.09 / $17,047.09 / $27,927.84
| Facility | | $11,521.09 | $17,047.09 | $27,927.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,876.40 / $20,575.75 / $28,782.05
| Facility | | $11,876.40 | $20,575.75 | $28,782.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,958.40 / $40,958.40 / $48,068.16
| Facility | | $40,958.40 | $40,958.40 | $48,068.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $19,724.87 / $28,174.72
| Facility | | $1,787.00 | $19,724.87 | $28,174.72 |