- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,201.32 / $21,038.80 / $33,875.19
| Facility | | $9,201.32 | $21,038.80 | $33,875.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,800.52 / $29,142.35
| Facility | | $1,474.01 | $9,800.52 | $29,142.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,229.41 / $21,997.45 / $31,162.03
| Facility | | $15,229.41 | $21,997.45 | $31,162.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,312.17 / $18,000.30 / $38,747.00
| Facility | | $13,312.17 | $18,000.30 | $38,747.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,498.75 / $18,449.87 / $39,247.29
| Facility | | $12,498.75 | $18,449.87 | $39,247.29 |