- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,285.30 / $22,503.70 / $31,862.80
| Facility | | $12,285.30 | $22,503.70 | $31,862.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,113.50 / $17,744.56 / $28,005.97
| Facility | | $11,113.50 | $17,744.56 | $28,005.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,772.98 / $20,243.24 / $36,015.93
| Facility | | $12,772.98 | $20,243.24 | $36,015.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $19,318.00 / $42,588.91
| Facility | | $7,117.00 | $19,318.00 | $42,588.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $17,693.99 / $37,846.73
| Facility | | $3,308.00 | $17,693.99 | $37,846.73 |