- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,550.40 / $29,113.10 / $39,067.50
| Facility | | $17,550.40 | $29,113.10 | $39,067.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,011.00 / $24,584.74 / $25,506.81
| Facility | | $24,011.00 | $24,584.74 | $25,506.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,952.62 / $25,101.01 / $38,812.16
| Facility | | $14,952.62 | $25,101.01 | $38,812.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,411.22 / $23,440.50 / $53,758.44
| Facility | | $14,411.22 | $23,440.50 | $53,758.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,110.00 / $23,090.46 / $32,710.44
| Facility | | $17,110.00 | $23,090.46 | $32,710.44 |