- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,386.50 / $26,880.30 / $47,285.50
| Facility | | $14,386.50 | $26,880.30 | $47,285.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,384.00 / $24,491.68 / $29,787.06
| Facility | | $12,384.00 | $24,491.68 | $29,787.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,559.59 / $23,114.45 / $36,465.28
| Facility | | $14,559.59 | $23,114.45 | $36,465.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,342.45 / $23,548.54 / $43,730.41
| Facility | | $13,342.45 | $23,548.54 | $43,730.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $24,479.54 / $33,207.48
| Facility | | $6,842.00 | $24,479.54 | $33,207.48 |