- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $27,542.29 / $37,153.52
| Facility | | $14,454.40 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $27,542.29 / $44,668.36
| Facility | | $18,197.01 | $27,542.29 | $44,668.36 |
- 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
- $7,943.28 / $21,877.62 / $46,773.51
| Facility | | $7,943.28 | $21,877.62 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $20,892.96 / $43,651.58
| Facility | | $6,456.54 | $20,892.96 | $43,651.58 |