- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,268.40 / $22,399.30 / $39,416.19
| Facility | | $13,268.40 | $22,399.30 | $39,416.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,615.84 / $18,928.09 / $30,880.24
| Facility | | $12,615.84 | $18,928.09 | $30,880.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,069.70 / $20,381.38 / $28,509.33
| Facility | | $12,069.70 | $20,381.38 | $28,509.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,104.15 / $41,104.15 / $48,239.21
| Facility | | $41,104.15 | $41,104.15 | $48,239.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $19,520.77 / $27,883.19
| Facility | | $1,787.00 | $19,520.77 | $27,883.19 |