- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,354.09 / $29,622.70 / $48,149.40
| Facility | | $17,354.09 | $29,622.70 | $48,149.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $17,230.16 / $29,770.61
| Facility | | $11,231.00 | $17,230.16 | $29,770.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,881.01 / $23,536.73 / $37,131.46
| Facility | | $14,881.01 | $23,536.73 | $37,131.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,779.89 / $19,044.00 / $37,448.41
| Facility | | $9,779.89 | $19,044.00 | $37,448.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $24,582.80 / $33,814.15
| Facility | | $6,842.00 | $24,582.80 | $33,814.15 |