- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,133.90 / $23,171.20 / $37,308.60
| Facility | | $10,133.90 | $23,171.20 | $37,308.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,378.15 / $27,303.00
| Facility | | $1,474.01 | $10,378.15 | $27,303.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,772.98 / $23,176.00 / $34,320.44
| Facility | | $16,772.98 | $23,176.00 | $34,320.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,661.43 / $20,319.84 / $42,674.19
| Facility | | $14,661.43 | $20,319.84 | $42,674.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,765.56 / $20,319.84 / $43,225.20
| Facility | | $13,765.56 | $20,319.84 | $43,225.20 |