- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,040.79 / $22,958.30 / $36,965.80
| Facility | | $10,040.79 | $22,958.30 | $36,965.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,464.48 / $30,369.20
| Facility | | $1,474.01 | $12,464.48 | $30,369.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,618.88 / $23,753.00 / $34,005.14
| Facility | | $16,618.88 | $23,753.00 | $34,005.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,526.73 / $20,133.16 / $42,282.14
| Facility | | $14,526.73 | $20,133.16 | $42,282.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,639.09 / $20,133.16 / $42,828.08
| Facility | | $13,639.09 | $20,133.16 | $42,828.08 |