- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $16,534.30 / $27,003.30
| Facility | | $6,303.00 | $16,534.30 | $27,003.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,837.99 / $30,034.73 / $40,300.12
| Facility | | $21,837.99 | $30,034.73 | $40,300.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,892.41 / $24,571.03 / $34,444.55
| Facility | | $17,892.41 | $24,571.03 | $34,444.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,576.96 / $27,288.89 / $34,402.37
| Facility | | $15,576.96 | $27,288.89 | $34,402.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,576.96 / $27,516.05 / $36,081.76
| Facility | | $15,576.96 | $27,516.05 | $36,081.76 |