- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,274.30 / $24,315.30 / $34,427.90
| Facility | | $13,274.30 | $24,315.30 | $34,427.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,363.21 / $24,975.33 / $40,301.00
| Facility | | $15,363.21 | $24,975.33 | $40,301.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,801.26 / $21,872.91 / $38,915.37
| Facility | | $13,801.26 | $21,872.91 | $38,915.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $20,782.86 / $46,017.50
| Facility | | $7,117.00 | $20,782.86 | $46,017.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $20,187.48 / $40,893.55
| Facility | | $3,308.00 | $20,187.48 | $40,893.55 |