- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,377.00 / $25,375.60 / $33,352.19
| Facility | | $17,377.00 | $25,375.60 | $33,352.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,394.12 / $25,583.77 / $43,271.50
| Facility | | $9,394.12 | $25,583.77 | $43,271.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,290.08 / $25,605.80 / $45,673.52
| Facility | | $18,290.08 | $25,605.80 | $45,673.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,857.89 / $28,445.32 / $41,532.49
| Facility | | $21,857.89 | $28,445.32 | $41,532.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,218.23 / $27,372.48 / $39,455.71
| Facility | | $18,218.23 | $27,372.48 | $39,455.71 |