- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,372.80 / $29,990.90 / $42,463.90
| Facility | | $16,372.80 | $29,990.90 | $42,463.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,968.82 / $25,598.03 / $40,225.37
| Facility | | $15,968.82 | $25,598.03 | $40,225.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,022.72 / $26,978.43 / $47,998.91
| Facility | | $17,022.72 | $26,978.43 | $47,998.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $24,087.15 / $56,758.80
| Facility | | $7,117.00 | $24,087.15 | $56,758.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $22,825.92 / $50,438.84
| Facility | | $3,308.00 | $22,825.92 | $50,438.84 |