- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,170.10 / $20,094.90 / $35,158.50
| Facility | | $15,170.10 | $20,094.90 | $35,158.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,332.34 / $16,592.90 / $27,044.35
| Facility | | $11,332.34 | $16,592.90 | $27,044.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $17,175.53 / $34,918.55
| Facility | | $5,939.30 | $17,175.53 | $34,918.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,087.59 / $19,279.43 / $31,390.43
| Facility | | $13,087.59 | $19,279.43 | $31,390.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $20,708.80 / $31,630.13
| Facility | | $3,496.00 | $20,708.80 | $31,630.13 |