- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,564.70 / $23,266.90 / $40,708.30
| Facility | | $17,564.70 | $23,266.90 | $40,708.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,999.26 / $14,999.26 / $32,304.35
| Facility | | $14,999.26 | $14,999.26 | $32,304.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,170.93 / $41,236.24
| Facility | | $5,939.30 | $20,170.93 | $41,236.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,084.00 / $22,322.67 / $36,345.37
| Facility | | $15,084.00 | $22,322.67 | $36,345.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $23,977.67 / $41,187.01
| Facility | | $3,496.00 | $23,977.67 | $41,187.01 |