- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $15,423.60 / $25,189.30
| Facility | | $6,303.00 | $15,423.60 | $25,189.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,371.00 / $28,017.11 / $37,592.92
| Facility | | $20,371.00 | $28,017.11 | $37,592.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,690.47 / $22,920.44 / $32,130.70
| Facility | | $16,690.47 | $22,920.44 | $32,130.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,530.56 / $25,455.72 / $32,091.35
| Facility | | $14,530.56 | $25,455.72 | $32,091.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,530.56 / $25,667.63 / $33,657.92
| Facility | | $14,530.56 | $25,667.63 | $33,657.92 |