- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,307.70 / $27,836.60 / $45,246.10
| Facility | | $16,307.70 | $27,836.60 | $45,246.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,687.00 / $22,120.28 / $28,116.36
| Facility | | $9,687.00 | $22,120.28 | $28,116.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,983.73 / $22,117.54 / $34,892.55
| Facility | | $13,983.73 | $22,117.54 | $34,892.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,157.65 / $17,822.25 / $35,190.39
| Facility | | $9,157.65 | $17,822.25 | $35,190.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $23,100.54 / $31,775.26
| Facility | | $6,553.00 | $23,100.54 | $31,775.26 |