- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,153.03 / $22,365.70 / $37,132.40
| Facility | | $15,153.03 | $22,365.70 | $37,132.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,195.19 / $10,195.19 / $10,195.19
| Facility | | $10,195.19 | $10,195.19 | $10,195.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,979.29 / $18,338.39 / $34,462.83
| Facility | | $11,979.29 | $18,338.39 | $34,462.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,610.00 / $24,115.00 / $42,698.89
| Facility | | $18,610.00 | $24,115.00 | $42,698.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,526.09 / $23,949.58 / $53,566.64
| Facility | | $11,526.09 | $23,949.58 | $53,566.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,526.09 / $22,866.19 / $32,137.30
| Facility | | $11,526.09 | $22,866.19 | $32,137.30 |