- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,119.40 / $24,031.60 / $34,026.10
| Facility | | $13,119.40 | $24,031.60 | $34,026.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,258.15 / $22,934.31 / $36,648.81
| Facility | | $14,258.15 | $22,934.31 | $36,648.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,640.22 / $21,617.68 / $38,461.29
| Facility | | $13,640.22 | $21,617.68 | $38,461.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $20,100.00 / $45,480.54
| Facility | | $7,117.00 | $20,100.00 | $45,480.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $19,951.91 / $40,416.39
| Facility | | $3,308.00 | $19,951.91 | $40,416.39 |