- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,769.20 / $25,210.50 / $40,977.60
| Facility | | $14,769.20 | $25,210.50 | $40,977.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,384.00 / $23,059.01 / $25,771.45
| Facility | | $12,384.00 | $23,059.01 | $25,771.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,664.51 / $20,030.98 / $31,600.80
| Facility | | $12,664.51 | $20,030.98 | $31,600.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,591.26 / $19,729.79 / $37,320.28
| Facility | | $10,591.26 | $19,729.79 | $37,320.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $20,921.24 / $28,777.59
| Facility | | $6,553.00 | $20,921.24 | $28,777.59 |