- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,739.90 / $25,160.50 / $40,896.30
| Facility | | $14,739.90 | $25,160.50 | $40,896.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,636.00 / $14,636.00 / $23,996.72
| Facility | | $14,636.00 | $14,636.00 | $23,996.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,639.38 / $19,991.23 / $31,538.10
| Facility | | $12,639.38 | $19,991.23 | $31,538.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,621.93 / $21,050.83 / $38,952.72
| Facility | | $11,621.93 | $21,050.83 | $38,952.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $20,879.73 / $28,720.50
| Facility | | $6,553.00 | $20,879.73 | $28,720.50 |