- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,610.50 / $24,939.50 / $40,537.19
| Facility | | $14,610.50 | $24,939.50 | $40,537.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,393.09 / $17,393.09 / $21,848.11
| Facility | | $17,393.09 | $17,393.09 | $21,848.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,528.40 / $19,815.70 / $31,261.18
| Facility | | $12,528.40 | $19,815.70 | $31,261.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,274.09 / $15,746.89 / $31,528.02
| Facility | | $8,274.09 | $15,746.89 | $31,528.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $20,696.39 / $28,468.31
| Facility | | $6,553.00 | $20,696.39 | $28,468.31 |