- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,217.50 / $23,362.40 / $37,616.50
| Facility | | $10,217.50 | $23,362.40 | $37,616.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,363.44 / $21,213.50 / $32,509.14
| Facility | | $11,363.44 | $21,213.50 | $32,509.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,703.20 / $33,642.50
| Facility | | $1,474.01 | $12,703.20 | $33,642.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,911.41 / $24,426.94 / $34,603.69
| Facility | | $16,911.41 | $24,426.94 | $34,603.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,879.16 / $19,988.33 / $42,313.48
| Facility | | $13,879.16 | $19,988.33 | $42,313.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,879.16 / $20,487.55 / $43,581.93
| Facility | | $13,879.16 | $20,487.55 | $43,581.93 |