- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,554.20 / $24,132.20 / $38,855.90
| Facility | | $10,554.20 | $24,132.20 | $38,855.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,823.81 / $30,945.84
| Facility | | $1,474.01 | $11,823.81 | $30,945.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,267.80 / $23,899.42 / $35,743.79
| Facility | | $16,267.80 | $23,899.42 | $35,743.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,336.44 / $22,320.00 / $44,443.98
| Facility | | $14,336.44 | $22,320.00 | $44,443.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,336.44 / $25,819.64 / $38,153.60
| Facility | | $14,336.44 | $25,819.64 | $38,153.60 |