- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $16,868.50 / $27,549.20
| Facility | | $6,303.00 | $16,868.50 | $27,549.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,279.43 / $30,641.87 / $41,114.76
| Facility | | $22,279.43 | $30,641.87 | $41,114.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,254.09 / $25,067.72 / $35,140.83
| Facility | | $18,254.09 | $25,067.72 | $35,140.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,891.84 / $27,840.52 / $35,097.79
| Facility | | $15,891.84 | $27,840.52 | $35,097.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,891.84 / $28,072.27 / $36,811.12
| Facility | | $15,891.84 | $28,072.27 | $36,811.12 |