- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,620.30 / $30,077.10 / $48,887.90
| Facility | | $17,620.30 | $30,077.10 | $48,887.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.00 / $13,607.00 / $30,541.41
| Facility | | $11,258.00 | $13,607.00 | $30,541.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,109.26 / $23,897.74 / $37,700.99
| Facility | | $15,109.26 | $23,897.74 | $37,700.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,939.08 / $19,445.77 / $38,022.80
| Facility | | $8,939.08 | $19,445.77 | $38,022.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,614.48 / $27,195.22 / $36,203.05
| Facility | | $17,614.48 | $27,195.22 | $36,203.05 |