- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,515.80 / $28,421.20 / $40,241.30
| Facility | | $15,515.80 | $28,421.20 | $40,241.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,231.25 / $26,307.38 / $41,163.83
| Facility | | $16,231.25 | $26,307.38 | $41,163.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,131.72 / $27,403.00 / $45,486.56
| Facility | | $16,131.72 | $27,403.00 | $45,486.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $24,121.81 / $53,787.95
| Facility | | $7,117.00 | $24,121.81 | $53,787.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $23,596.31 / $47,798.78
| Facility | | $3,308.00 | $23,596.31 | $47,798.78 |