- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,589.20 / $24,892.10 / $35,244.50
| Facility | | $13,589.20 | $24,892.10 | $35,244.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,929.24 / $20,964.25 / $33,653.08
| Facility | | $12,929.24 | $20,964.25 | $33,653.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,128.62 / $22,391.72 / $39,838.43
| Facility | | $14,128.62 | $22,391.72 | $39,838.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $21,126.57 / $47,109.01
| Facility | | $7,117.00 | $21,126.57 | $47,109.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $20,666.32 / $41,863.53
| Facility | | $3,308.00 | $20,666.32 | $41,863.53 |