- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,953.60 / $28,232.10 / $35,973.10
| Facility | | $15,953.60 | $28,232.10 | $35,973.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,360.39 / $30,821.90 / $43,473.63
| Facility | | $20,360.39 | $30,821.90 | $43,473.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,020.00 / $27,155.04 / $37,738.17
| Facility | | $14,020.00 | $27,155.04 | $37,738.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,717.06 / $26,741.00 / $37,283.00
| Facility | | $18,717.06 | $26,741.00 | $37,283.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $23,504.00 / $48,778.16
| Facility | | $5,274.00 | $23,504.00 | $48,778.16 |