- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,488.51 / $21,695.50 / $34,932.50
| Facility | | $9,488.51 | $21,695.50 | $34,932.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,159.51 / $33,621.17
| Facility | | $1,474.01 | $10,159.51 | $33,621.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,704.75 / $21,486.25 / $32,134.67
| Facility | | $15,704.75 | $21,486.25 | $32,134.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,888.87 / $18,879.00 / $39,956.39
| Facility | | $12,888.87 | $18,879.00 | $39,956.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,888.87 / $18,879.00 / $34,301.16
| Facility | | $12,888.87 | $18,879.00 | $34,301.16 |