- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,483.60 / $26,530.40 / $37,564.30
| Facility | | $14,483.60 | $26,530.40 | $37,564.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,812.34 / $27,260.22 / $44,887.04
| Facility | | $16,812.34 | $27,260.22 | $44,887.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,058.56 / $23,865.54 / $42,460.58
| Facility | | $15,058.56 | $23,865.54 | $42,460.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $23,817.26 / $50,209.71
| Facility | | $7,117.00 | $23,817.26 | $50,209.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $22,026.57 / $44,618.97
| Facility | | $3,308.00 | $22,026.57 | $44,618.97 |