- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,336.30 / $21,639.70 / $37,861.30
| Facility | | $16,336.30 | $21,639.70 | $37,861.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,585.33 / $16,931.66 / $26,102.19
| Facility | | $11,585.33 | $16,931.66 | $26,102.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,146.66 / $35,818.36
| Facility | | $5,939.30 | $18,146.66 | $35,818.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,675.60 / $23,408.00 / $37,066.00
| Facility | | $14,675.60 | $23,408.00 | $37,066.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,300.78 / $38,306.58
| Facility | | $3,496.00 | $22,300.78 | $38,306.58 |