- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,133.30 / $25,456.30 / $40,988.00
| Facility | | $11,133.30 | $25,456.30 | $40,988.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,283.52 / $35,767.01
| Facility | | $1,474.01 | $13,283.52 | $35,767.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,427.12 / $26,616.25 / $37,705.11
| Facility | | $18,427.12 | $26,616.25 | $37,705.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,107.33 / $21,779.81 / $46,105.90
| Facility | | $16,107.33 | $21,779.81 | $46,105.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,123.11 / $22,323.78 / $47,488.04
| Facility | | $15,123.11 | $22,323.78 | $47,488.04 |