- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,521.80 / $20,560.80 / $35,973.50
| Facility | | $15,521.80 | $20,560.80 | $35,973.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,090.56 / $14,504.41 / $23,341.89
| Facility | | $10,090.56 | $14,504.41 | $23,341.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,506.41 / $39,197.40
| Facility | | $5,939.30 | $18,506.41 | $39,197.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,134.00 / $19,726.34 / $32,118.08
| Facility | | $13,134.00 | $19,726.34 | $32,118.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $21,188.85 / $32,363.34
| Facility | | $3,496.00 | $21,188.85 | $32,363.34 |