- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,437.70 / $25,445.20 / $28,795.30
| Facility | | $16,437.70 | $25,445.20 | $28,795.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,216.31 / $24,526.70 / $33,125.16
| Facility | | $16,216.31 | $24,526.70 | $33,125.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,168.73 / $21,131.00 / $31,919.26
| Facility | | $15,168.73 | $21,131.00 | $31,919.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,588.00 / $21,299.00 / $30,437.00
| Facility | | $14,588.00 | $21,299.00 | $30,437.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $23,741.54 / $39,045.39
| Facility | | $5,274.00 | $23,741.54 | $39,045.39 |