- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,970.20 / $27,369.80 / $44,068.90
| Facility | | $11,970.20 | $27,369.80 | $44,068.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,176.59 / $14,176.59 / $20,704.32
| Facility | | $14,176.59 | $14,176.59 | $20,704.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,024.22 / $36,393.16
| Facility | | $1,474.01 | $14,024.22 | $36,393.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,029.00 / $27,105.86 / $40,539.32
| Facility | | $19,029.00 | $27,105.86 | $40,539.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,318.08 / $24,001.81 / $50,406.76
| Facility | | $17,318.08 | $24,001.81 | $50,406.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,259.88 / $24,001.81 / $51,057.61
| Facility | | $16,259.88 | $24,001.81 | $51,057.61 |