- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,946.50 / $20,051.30 / $28,390.50
| Facility | | $10,946.50 | $20,051.30 | $28,390.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,163.25 / $16,227.32 / $25,596.73
| Facility | | $10,163.25 | $16,227.32 | $25,596.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,208.60 / $18,037.22 / $32,091.08
| Facility | | $11,208.60 | $18,037.22 | $32,091.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $16,104.17 / $37,947.76
| Facility | | $7,117.00 | $16,104.17 | $37,947.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $16,647.36 / $33,722.37
| Facility | | $3,308.00 | $16,647.36 | $33,722.37 |