- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,437.65 / $21,354.50 / $35,453.40
| Facility | | $14,437.65 | $21,354.50 | $35,453.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,055.20 / $12,642.00 / $25,492.85
| Facility | | $9,055.20 | $12,642.00 | $25,492.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,683.13 / $19,000.08 / $32,186.54
| Facility | | $12,683.13 | $19,000.08 | $32,186.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,406.86 / $22,776.98 / $32,750.52
| Facility | | $18,406.86 | $22,776.98 | $32,750.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,004.94 / $22,866.69 / $56,713.96
| Facility | | $11,004.94 | $22,866.69 | $56,713.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,004.94 / $21,832.29 / $30,684.21
| Facility | | $11,004.94 | $21,832.29 | $30,684.21 |