- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,966.40 / $20,201.20 / $35,548.40
| Facility | | $11,966.40 | $20,201.20 | $35,548.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,174.54 / $14,931.74 / $24,701.20
| Facility | | $10,174.54 | $14,931.74 | $24,701.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,885.30 / $18,557.12 / $25,711.73
| Facility | | $10,885.30 | $18,557.12 | $25,711.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,505.44 / $37,505.44 / $44,015.83
| Facility | | $37,505.44 | $37,505.44 | $44,015.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $17,605.21 / $25,147.03
| Facility | | $1,787.00 | $17,605.21 | $25,147.03 |