- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $15,559.10 / $25,410.70
| Facility | | $6,303.00 | $15,559.10 | $25,410.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,550.00 / $28,263.30 / $37,923.25
| Facility | | $20,550.00 | $28,263.30 | $37,923.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,837.13 / $23,121.85 / $32,413.03
| Facility | | $16,837.13 | $23,121.85 | $32,413.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,658.24 / $25,679.40 / $32,373.33
| Facility | | $14,658.24 | $25,679.40 | $32,373.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,658.24 / $25,893.17 / $33,953.68
| Facility | | $14,658.24 | $25,893.17 | $33,953.68 |