- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,592.66 / $21,933.60 / $35,315.90
| Facility | | $9,592.66 | $21,933.60 | $35,315.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $15,155.09 / $31,745.38
| Facility | | $1,474.01 | $15,155.09 | $31,745.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,877.13 / $21,722.09 / $32,487.39
| Facility | | $15,877.13 | $21,722.09 | $32,487.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,878.36 / $22,677.00 / $46,181.00
| Facility | | $13,878.36 | $22,677.00 | $46,181.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,878.36 / $22,677.00 / $41,607.72
| Facility | | $13,878.36 | $22,677.00 | $41,607.72 |