- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,323.90 / $24,181.10 / $42,551.80
| Facility | | $14,323.90 | $24,181.10 | $42,551.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,604.40 / $14,177.04 / $23,440.95
| Facility | | $9,604.40 | $14,177.04 | $23,440.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,029.83 / $21,919.54 / $30,416.03
| Facility | | $13,029.83 | $21,919.54 | $30,416.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,207.30 / $44,207.30 / $51,881.02
| Facility | | $44,207.30 | $44,207.30 | $51,881.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $21,073.63 / $30,101.27
| Facility | | $1,787.00 | $21,073.63 | $30,101.27 |