- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,625.90 / $17,938.30 / $31,566.30
| Facility | | $10,625.90 | $17,938.30 | $31,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,586.86 / $17,242.30 / $28,129.96
| Facility | | $11,586.86 | $17,242.30 | $28,129.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,665.94 / $16,534.75 / $22,831.52
| Facility | | $9,665.94 | $16,534.75 | $22,831.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,987.19 / $32,987.19 / $38,713.28
| Facility | | $32,987.19 | $32,987.19 | $38,713.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $15,633.09 / $22,330.08
| Facility | | $1,787.00 | $15,633.09 | $22,330.08 |