- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,053.20 / $20,494.30 / $33,268.60
| Facility | | $14,053.20 | $20,494.30 | $33,268.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,123.08 / $44,246.11 / $56,725.78
| Facility | | $31,123.08 | $44,246.11 | $56,725.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,501.75 / $31,904.61 / $40,353.55
| Facility | | $16,501.75 | $31,904.61 | $40,353.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,662.20 / $22,040.10 / $35,243.10
| Facility | | $14,662.20 | $22,040.10 | $35,243.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,147.25 / $29,322.00 / $44,548.64
| Facility | | $17,147.25 | $29,322.00 | $44,548.64 |