- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,955.30 / $27,794.50 / $31,453.90
| Facility | | $17,955.30 | $27,794.50 | $31,453.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,227.25 / $26,078.90 / $35,842.46
| Facility | | $17,227.25 | $26,078.90 | $35,842.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,147.28 / $23,348.98 / $35,379.62
| Facility | | $16,147.28 | $23,348.98 | $35,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,056.00 / $21,137.00 / $33,113.00
| Facility | | $14,056.00 | $21,137.00 | $33,113.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $25,933.51 / $42,650.32
| Facility | | $5,274.00 | $25,933.51 | $42,650.32 |