- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,257.40 / $22,452.50 / $31,790.30
| Facility | | $12,257.40 | $22,452.50 | $31,790.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,322.89 / $23,064.50 / $36,964.35
| Facility | | $14,322.89 | $23,064.50 | $36,964.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,743.94 / $20,197.21 / $35,934.05
| Facility | | $12,743.94 | $20,197.21 | $35,934.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $19,520.50 / $42,492.08
| Facility | | $7,117.00 | $19,520.50 | $42,492.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $18,640.91 / $37,760.68
| Facility | | $3,308.00 | $18,640.91 | $37,760.68 |