- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,907.10 / $20,101.09 / $35,372.10
| Facility | | $11,907.10 | $20,101.09 | $35,372.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,781.41 / $20,342.72 / $33,635.55
| Facility | | $13,781.41 | $20,342.72 | $33,635.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,831.33 / $18,473.98 / $25,584.24
| Facility | | $10,831.33 | $18,473.98 | $25,584.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,782.75 / $38,782.75 / $45,514.85
| Facility | | $38,782.75 | $38,782.75 | $45,514.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $17,517.91 / $25,022.34
| Facility | | $1,787.00 | $17,517.91 | $25,022.34 |