- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,360.60 / $23,689.60 / $38,143.19
| Facility | | $10,360.60 | $23,689.60 | $38,143.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,436.82 / $33,673.05
| Facility | | $1,474.01 | $12,436.82 | $33,673.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,875.00 / $23,461.10 / $35,088.24
| Facility | | $16,875.00 | $23,461.10 | $35,088.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,989.42 / $20,774.43 / $43,628.86
| Facility | | $14,989.42 | $20,774.43 | $43,628.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,073.51 / $20,774.43 / $44,192.19
| Facility | | $14,073.51 | $20,774.43 | $44,192.19 |