- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,441.30 / $24,621.10 / $34,860.90
| Facility | | $13,441.30 | $24,621.10 | $34,860.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,854.98 / $22,228.33 / $34,916.23
| Facility | | $13,854.98 | $22,228.33 | $34,916.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,974.84 / $22,148.00 / $39,404.81
| Facility | | $13,974.84 | $22,148.00 | $39,404.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $21,485.26 / $46,596.27
| Facility | | $7,117.00 | $21,485.26 | $46,596.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $20,441.38 / $41,407.87
| Facility | | $3,308.00 | $20,441.38 | $41,407.87 |