- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,779.36 / $16,509.20 / $29,051.40
| Facility | | $9,779.36 | $16,509.20 | $29,051.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,311.17 / $13,067.76 / $21,424.22
| Facility | | $9,311.17 | $13,067.76 | $21,424.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,895.86 / $15,217.43 / $21,012.54
| Facility | | $8,895.86 | $15,217.43 | $21,012.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,458.90 / $33,458.90 / $39,266.86
| Facility | | $33,458.90 | $33,458.90 | $39,266.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,387.61 / $20,551.05
| Facility | | $1,787.00 | $14,387.61 | $20,551.05 |