- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,347.30 / $24,220.60 / $42,621.30
| Facility | | $14,347.30 | $24,220.60 | $42,621.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,354.71 / $19,712.86 / $32,594.10
| Facility | | $13,354.71 | $19,712.86 | $32,594.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,051.11 / $21,955.35 / $30,457.74
| Facility | | $13,051.11 | $21,955.35 | $30,457.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,393.75 / $43,393.75 / $50,926.25
| Facility | | $43,393.75 | $43,393.75 | $50,926.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $21,108.06 / $30,150.44
| Facility | | $1,787.00 | $21,108.06 | $30,150.44 |