- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,971.30 / $25,085.90 / $40,391.50
| Facility | | $10,971.30 | $25,085.90 | $40,391.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $18,957.43 / $37,933.93
| Facility | | $1,474.01 | $18,957.43 | $37,933.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,158.97 / $26,228.94 / $37,156.44
| Facility | | $18,158.97 | $26,228.94 | $37,156.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,872.94 / $21,998.93 / $46,200.47
| Facility | | $15,872.94 | $21,998.93 | $46,200.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,903.04 / $21,998.93 / $46,797.01
| Facility | | $14,903.04 | $21,998.93 | $46,797.01 |