- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,924.80 / $27,338.60 / $38,708.50
| Facility | | $14,924.80 | $27,338.60 | $38,708.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,429.99 / $24,777.66 / $39,660.87
| Facility | | $15,429.99 | $24,777.66 | $39,660.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,517.26 / $24,592.51 / $43,753.97
| Facility | | $15,517.26 | $24,592.51 | $43,753.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $22,697.52 / $51,739.15
| Facility | | $7,117.00 | $22,697.52 | $51,739.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $22,697.52 / $45,978.11
| Facility | | $3,308.00 | $22,697.52 | $45,978.11 |