- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,180.50 / $24,209.80 / $45,914.00
| Facility | | $13,180.50 | $24,209.80 | $45,914.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,238.44 / $18,411.37 / $35,083.19
| Facility | | $10,238.44 | $18,411.37 | $35,083.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,269.53 / $19,609.20 / $33,589.05
| Facility | | $15,269.53 | $19,609.20 | $33,589.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,599.67 / $20,000.00 / $45,461.98
| Facility | | $12,599.67 | $20,000.00 | $45,461.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,427.50 / $18,607.62 / $25,890.18
| Facility | | $9,427.50 | $18,607.62 | $25,890.18 |