- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,581.60 / $20,640.00 / $36,112.10
| Facility | | $15,581.60 | $20,640.00 | $36,112.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,979.89 / $16,601.13 / $27,265.74
| Facility | | $9,979.89 | $16,601.13 | $27,265.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.53 / $17,212.62 / $35,655.25
| Facility | | $5,707.53 | $17,212.62 | $35,655.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,134.00 / $19,802.34 / $32,241.83
| Facility | | $13,134.00 | $19,802.34 | $32,241.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $21,270.49 / $32,488.04
| Facility | | $3,496.00 | $21,270.49 | $32,488.04 |