- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,831.00 / $25,335.10 / $35,871.80
| Facility | | $13,831.00 | $25,335.10 | $35,871.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,337.26 / $26,333.44 / $41,992.90
| Facility | | $16,337.26 | $26,333.44 | $41,992.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,380.08 / $22,790.25 / $40,547.47
| Facility | | $14,380.08 | $22,790.25 | $40,547.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $22,050.98 / $47,947.46
| Facility | | $7,117.00 | $22,050.98 | $47,947.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $21,034.14 / $42,608.61
| Facility | | $3,308.00 | $21,034.14 | $42,608.61 |