- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,834.60 / $27,173.50 / $38,474.69
| Facility | | $14,834.60 | $27,173.50 | $38,474.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,004.42 / $26,141.07 / $42,322.15
| Facility | | $16,004.42 | $26,141.07 | $42,322.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,423.54 / $24,443.97 / $43,489.71
| Facility | | $15,423.54 | $24,443.97 | $43,489.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $22,350.12 / $51,426.66
| Facility | | $7,117.00 | $22,350.12 | $51,426.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $22,560.43 / $45,700.42
| Facility | | $3,308.00 | $22,560.43 | $45,700.42 |