- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,015.70 / $25,673.50 / $36,350.90
| Facility | | $14,015.70 | $25,673.50 | $36,350.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,042.82 / $24,387.37 / $38,600.03
| Facility | | $15,042.82 | $24,387.37 | $38,600.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,572.14 / $23,094.63 / $41,089.01
| Facility | | $14,572.14 | $23,094.63 | $41,089.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $21,945.25 / $48,587.84
| Facility | | $7,117.00 | $21,945.25 | $48,587.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $21,315.07 / $43,177.69
| Facility | | $3,308.00 | $21,315.07 | $43,177.69 |