- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,847.80 / $31,479.10 / $55,375.30
| Facility | | $16,847.80 | $31,479.10 | $55,375.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $11,231.00 / $36,201.89
| Facility | | $11,231.00 | $11,231.00 | $36,201.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,114.25 / $27,068.98 / $42,703.93
| Facility | | $17,114.25 | $27,068.98 | $42,703.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,107.34 / $18,281.12 / $43,068.44
| Facility | | $8,107.34 | $18,281.12 | $43,068.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $28,272.04 / $38,888.76
| Facility | | $6,842.00 | $28,272.04 | $38,888.76 |