- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,179.70 / $23,275.90 / $37,477.10
| Facility | | $10,179.70 | $23,275.90 | $37,477.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,575.68 / $33,693.33
| Facility | | $1,474.01 | $7,575.68 | $33,693.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,848.72 / $23,898.00 / $34,475.43
| Facility | | $16,848.72 | $23,898.00 | $34,475.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,727.63 / $20,411.61 / $42,866.90
| Facility | | $14,727.63 | $20,411.61 | $42,866.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,672.88 / $19,848.43 / $36,799.73
| Facility | | $13,672.88 | $19,848.43 | $36,799.73 |