- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,752.10 / $20,233.30 / $33,557.60
| Facility | | $15,752.10 | $20,233.30 | $33,557.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,246.96 / $18,529.04 / $33,245.54
| Facility | | $11,246.96 | $18,529.04 | $33,245.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,422.58 / $21,559.01 / $31,166.00
| Facility | | $17,422.58 | $21,559.01 | $31,166.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,416.45 / $20,709.89 / $54,633.37
| Facility | | $10,416.45 | $20,709.89 | $54,633.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,416.45 / $20,449.95 / $29,043.40
| Facility | | $10,416.45 | $20,449.95 | $29,043.40 |