- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,595.21 / $26,775.90 / $44,454.30
| Facility | | $20,595.21 | $26,775.90 | $44,454.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,850.20 / $25,199.31 / $42,590.56
| Facility | | $16,850.20 | $25,199.31 | $42,590.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,079.96 / $29,268.90 / $43,608.00
| Facility | | $23,079.96 | $29,268.90 | $43,608.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,798.85 / $27,434.72 / $73,607.48
| Facility | | $13,798.85 | $27,434.72 | $73,607.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,798.85 / $27,375.03 / $38,474.26
| Facility | | $13,798.85 | $27,375.03 | $38,474.26 |