- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,578.40 / $13,968.50 / $22,675.30
| Facility | | $9,578.40 | $13,968.50 | $22,675.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,712.29 / $43,662.10 / $55,977.05
| Facility | | $30,712.29 | $43,662.10 | $55,977.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,247.29 / $21,745.59 / $27,504.23
| Facility | | $11,247.29 | $21,745.59 | $27,504.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,993.45 / $15,022.10 / $24,021.00
| Facility | | $9,993.45 | $15,022.10 | $24,021.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,687.24 / $19,985.33 / $30,363.53
| Facility | | $11,687.24 | $19,985.33 | $30,363.53 |