- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $26,915.35 / $37,153.52
| Facility | | $14,454.40 | $26,915.35 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $20,892.96 / $33,884.42
| Facility | | $14,454.40 | $20,892.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $28,840.32 / $39,810.72
| Facility | | $14,125.38 | $28,840.32 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $21,379.62 / $42,657.95
| Facility | | $7,079.46 | $21,379.62 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $20,892.96 / $41,686.94
| Facility | | $6,456.54 | $20,892.96 | $41,686.94 |