- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,714.20 / $23,465.00 / $41,054.80
| Facility | | $17,714.20 | $23,465.00 | $41,054.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,477.00 / $18,970.40 / $28,805.20
| Facility | | $11,477.00 | $18,970.40 | $28,805.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,906.43 / $40,828.47
| Facility | | $5,939.30 | $20,906.43 | $40,828.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,358.62 / $22,512.68 / $36,654.75
| Facility | | $13,358.62 | $22,512.68 | $36,654.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $24,181.77 / $36,934.66
| Facility | | $3,496.00 | $24,181.77 | $36,934.66 |