- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,645.30 / $24,218.60 / $27,407.20
| Facility | | $15,645.30 | $24,218.60 | $27,407.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,103.94 / $22,844.27 / $31,419.34
| Facility | | $15,103.94 | $22,844.27 | $31,419.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,447.30 / $22,293.71 / $33,482.00
| Facility | | $14,447.30 | $22,293.71 | $33,482.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,002.57 / $22,816.00 / $29,026.00
| Facility | | $15,002.57 | $22,816.00 | $29,026.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $25,207.38 / $37,163.17
| Facility | | $5,274.00 | $25,207.38 | $37,163.17 |