- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,100.90 / $22,040.80 / $44,792.70
| Facility | | $17,100.90 | $22,040.80 | $44,792.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,129.48 / $24,839.13 / $25,368.47
| Facility | | $24,129.48 | $24,839.13 | $25,368.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,456.38 / $20,628.41 / $23,583.62
| Facility | | $16,456.38 | $20,628.41 | $23,583.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,650.21 / $24,162.30 / $31,424.12
| Facility | | $13,650.21 | $24,162.30 | $31,424.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,565.00 / $28,565.00 / $29,173.74
| Facility | | $28,565.00 | $28,565.00 | $29,173.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $21,954.88 / $30,865.70
| Facility | | $1,518.00 | $21,954.88 | $30,865.70 |