- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,514.10 / $27,237.90 / $27,237.90
| Facility | | $24,514.10 | $27,237.90 | $27,237.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,288.81 / $21,552.18 / $42,132.61
| Facility | | $12,288.81 | $21,552.18 | $42,132.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,268.05 / $20,526.63 / $50,362.97
| Facility | | $12,268.05 | $20,526.63 | $50,362.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,999.05 / $29,989.78 / $47,131.03
| Facility | | $16,999.05 | $29,989.78 | $47,131.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $40,692.71 / $52,541.10
| Facility | | $6,965.00 | $40,692.71 | $52,541.10 |