- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,846.20 / $25,599.10 / $35,422.50
| Facility | | $15,846.20 | $25,599.10 | $35,422.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,285.39 / $24,285.39 / $24,285.39
| Facility | | $24,285.39 | $24,285.39 | $24,285.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,587.40 / $21,776.89 / $32,984.87
| Facility | | $13,587.40 | $21,776.89 | $32,984.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,290.22 / $23,669.84 / $36,664.65
| Facility | | $15,290.22 | $23,669.84 | $36,664.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,916.04 / $22,747.71 / $34,697.44
| Facility | | $13,916.04 | $22,747.71 | $34,697.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $27,560.87 / $39,373.19
| Facility | | $10,403.00 | $27,560.87 | $39,373.19 |