- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,521.20 / $24,767.60 / $35,068.30
| Facility | | $13,521.20 | $24,767.60 | $35,068.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,373.27 / $24,923.10 / $39,447.98
| Facility | | $15,373.27 | $24,923.10 | $39,447.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,058.00 / $22,279.80 / $39,639.30
| Facility | | $14,058.00 | $22,279.80 | $39,639.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $21,020.97 / $46,873.55
| Facility | | $7,117.00 | $21,020.97 | $46,873.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $20,563.02 / $41,654.28
| Facility | | $3,308.00 | $20,563.02 | $41,654.28 |