- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,000.90 / $21,982.70 / $31,125.20
| Facility | | $12,000.90 | $21,982.70 | $31,125.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,696.55 / $22,204.81 / $35,145.51
| Facility | | $13,696.55 | $22,204.81 | $35,145.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,477.30 / $16,562.66 / $35,182.21
| Facility | | $12,477.30 | $16,562.66 | $35,182.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,713.00 / $18,594.52 / $41,603.01
| Facility | | $6,713.00 | $18,594.52 | $41,603.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $17,624.00 / $34,887.31
| Facility | | $3,308.00 | $17,624.00 | $34,887.31 |