- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,913.07 / $16,734.90 / $29,448.60
| Facility | | $9,913.07 | $16,734.90 | $29,448.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,821.64 / $15,843.34 / $25,545.50
| Facility | | $10,821.64 | $15,843.34 | $25,545.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,017.49 / $15,425.50 / $21,299.85
| Facility | | $9,017.49 | $15,425.50 | $21,299.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,000.44 / $33,000.44 / $38,728.83
| Facility | | $33,000.44 | $33,000.44 | $38,728.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,584.33 / $20,832.04
| Facility | | $1,787.00 | $14,584.33 | $20,832.04 |