- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,641.20 / $24,692.90 / $43,203.20
| Facility | | $18,641.20 | $24,692.90 | $43,203.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,616.37 / $19,508.73 / $30,385.11
| Facility | | $14,616.37 | $19,508.73 | $30,385.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $21,611.20 / $42,951.58
| Facility | | $5,939.30 | $21,611.20 | $42,951.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,057.67 / $23,690.76 / $38,572.87
| Facility | | $14,057.67 | $23,690.76 | $38,572.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $25,447.19 / $38,867.43
| Facility | | $3,496.00 | $25,447.19 | $38,867.43 |