- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $15,215.70 / $24,849.80
| Facility | | $6,303.00 | $15,215.70 | $24,849.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,096.43 / $27,639.51 / $37,086.25
| Facility | | $20,096.43 | $27,639.51 | $37,086.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,465.52 / $22,611.53 / $31,697.65
| Facility | | $16,465.52 | $22,611.53 | $31,697.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,334.72 / $25,112.64 / $31,658.83
| Facility | | $14,334.72 | $25,112.64 | $31,658.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,334.72 / $25,321.69 / $33,204.29
| Facility | | $14,334.72 | $25,321.69 | $33,204.29 |