- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,725.50 / $23,276.00 / $34,441.10
| Facility | | $11,725.50 | $23,276.00 | $34,441.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,439.82 / $10,918.37 / $17,887.30
| Facility | | $7,439.82 | $10,918.37 | $17,887.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,546.25 / $18,034.90 / $24,910.87
| Facility | | $10,546.25 | $18,034.90 | $24,910.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,100.94 / $36,100.94 / $42,367.53
| Facility | | $36,100.94 | $36,100.94 | $42,367.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $15,543.31 / $24,233.36
| Facility | | $2,520.00 | $15,543.31 | $24,233.36 |