- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,605.70 / $16,532.09 / $37,447.50
| Facility | | $12,605.70 | $16,532.09 | $37,447.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,072.71 / $22,429.55 / $36,238.80
| Facility | | $15,072.71 | $22,429.55 | $36,238.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,595.14 / $19,615.43 / $27,413.00
| Facility | | $12,595.14 | $19,615.43 | $27,413.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,782.00 / $40,782.00 / $45,461.98
| Facility | | $40,782.00 | $40,782.00 | $45,461.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,791.00 / $20,411.66 / $38,826.22
| Facility | | $3,791.00 | $20,411.66 | $38,826.22 |