- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,202.40 / $26,015.30 / $36,834.90
| Facility | | $14,202.40 | $26,015.30 | $36,834.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,733.98 / $23,938.10 / $39,265.97
| Facility | | $14,733.98 | $23,938.10 | $39,265.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,766.18 / $23,402.16 / $41,636.15
| Facility | | $14,766.18 | $23,402.16 | $41,636.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $22,130.36 / $49,234.83
| Facility | | $7,117.00 | $22,130.36 | $49,234.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $21,598.89 / $43,752.64
| Facility | | $3,308.00 | $21,598.89 | $43,752.64 |