- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,645.80 / $24,307.90 / $31,948.90
| Facility | | $16,645.80 | $24,307.90 | $31,948.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,138.11 / $38,503.39 / $65,123.30
| Facility | | $14,138.11 | $38,503.39 | $65,123.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,520.50 / $24,528.40 / $43,751.75
| Facility | | $17,520.50 | $24,528.40 | $43,751.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,938.18 / $27,248.45 / $39,784.96
| Facility | | $20,938.18 | $27,248.45 | $39,784.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,938.18 / $25,331.07 / $39,784.96
| Facility | | $20,938.18 | $25,331.07 | $39,784.96 |