- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,785.40 / $21,583.80 / $37,981.30
| Facility | | $12,785.40 | $21,583.80 | $37,981.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,835.49 / $11,565.96 / $19,179.22
| Facility | | $7,835.49 | $11,565.96 | $19,179.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,630.30 / $19,704.59 / $27,471.45
| Facility | | $11,630.30 | $19,704.59 | $27,471.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,063.45 / $42,063.45 / $49,365.03
| Facility | | $42,063.45 | $42,063.45 | $49,365.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $18,810.12 / $26,868.10
| Facility | | $1,787.00 | $18,810.12 | $26,868.10 |