- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,772.40 / $27,059.50 / $38,313.40
| Facility | | $14,772.40 | $27,059.50 | $38,313.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,119.97 / $25,941.83 / $41,434.37
| Facility | | $16,119.97 | $25,941.83 | $41,434.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,358.86 / $24,341.47 / $43,307.33
| Facility | | $15,358.86 | $24,341.47 | $43,307.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $22,966.15 / $51,211.00
| Facility | | $7,117.00 | $22,966.15 | $51,211.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $22,465.82 / $45,508.77
| Facility | | $3,308.00 | $22,465.82 | $45,508.77 |