- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,494.20 / $23,995.80 / $28,063.20
| Facility | | $15,494.20 | $23,995.80 | $28,063.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,829.34 / $25,476.54 / $35,934.11
| Facility | | $16,829.34 | $25,476.54 | $35,934.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,307.77 / $22,078.41 / $33,710.14
| Facility | | $14,307.77 | $22,078.41 | $33,710.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,253.00 / $24,606.00 / $29,270.00
| Facility | | $15,253.00 | $24,606.00 | $29,270.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $27,719.84 / $36,804.26
| Facility | | $5,274.00 | $27,719.84 | $36,804.26 |