- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,822.50 / $17,815.30 / $36,205.50
| Facility | | $13,822.50 | $17,815.30 | $36,205.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,960.80 / $20,551.48 / $50,327.95
| Facility | | $14,960.80 | $20,551.48 | $50,327.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,360.07 / $16,747.13 / $19,146.30
| Facility | | $13,360.07 | $16,747.13 | $19,146.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,033.31 / $19,530.11 / $25,399.76
| Facility | | $11,033.31 | $19,530.11 | $25,399.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,936.52 / $23,634.20 / $57,877.14
| Facility | | $17,936.52 | $23,634.20 | $57,877.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $16,945.39 / $24,948.39
| Facility | | $1,518.00 | $16,945.39 | $24,948.39 |