- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,709.09 / $27,426.00 / $31,022.60
| Facility | | $17,709.09 | $27,426.00 | $31,022.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,110.02 / $27,415.25 / $37,679.11
| Facility | | $18,110.02 | $27,415.25 | $37,679.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,925.85 / $23,028.79 / $34,894.46
| Facility | | $15,925.85 | $23,028.79 | $34,894.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $24,019.01 / $33,075.00
| Facility | | $15,496.00 | $24,019.01 | $33,075.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $25,577.88 / $42,065.45
| Facility | | $5,274.00 | $25,577.88 | $42,065.45 |