- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,015.30 / $29,884.40 / $40,102.50
| Facility | | $18,015.30 | $29,884.40 | $40,102.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,753.16 / $22,078.64 / $39,951.19
| Facility | | $16,753.16 | $22,078.64 | $39,951.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,767.62 / $25,628.81 / $41,007.08
| Facility | | $14,767.62 | $25,628.81 | $41,007.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,793.01 / $24,061.50 / $55,182.64
| Facility | | $14,793.01 | $24,061.50 | $55,182.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,563.29 / $23,702.18 / $33,990.87
| Facility | | $17,563.29 | $23,702.18 | $33,990.87 |