- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,318.40 / $20,881.00 / $33,896.40
| Facility | | $14,318.40 | $20,881.00 | $33,896.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,147.67 / $34,329.51 / $44,012.20
| Facility | | $24,147.67 | $34,329.51 | $44,012.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,813.16 / $32,506.68 / $41,115.07
| Facility | | $16,813.16 | $32,506.68 | $41,115.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,938.90 / $22,456.00 / $35,908.19
| Facility | | $14,938.90 | $22,456.00 | $35,908.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,298.86 / $29,875.34 / $45,389.33
| Facility | | $18,298.86 | $29,875.34 | $45,389.33 |