- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,051.20 / $24,909.40 / $39,876.30
| Facility | | $16,051.20 | $24,909.40 | $39,876.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,849.70 / $10,849.70 / $23,451.00
| Facility | | $10,849.70 | $10,849.70 | $23,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,974.69 / $19,404.07 / $27,536.58
| Facility | | $9,974.69 | $19,404.07 | $27,536.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,832.39 / $19,871.03 / $34,816.69
| Facility | | $14,832.39 | $19,871.03 | $34,816.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,564.20 / $26,133.27 / $30,816.70
| Facility | | $14,564.20 | $26,133.27 | $30,816.70 |