- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,932.16 / $28,566.40 / $38,542.60
| Facility | | $17,932.16 | $28,566.40 | $38,542.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,316.66 / $27,996.61 / $39,155.01
| Facility | | $19,316.66 | $27,996.61 | $39,155.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,341.61 / $35,853.60 / $50,640.00
| Facility | | $24,341.61 | $35,853.60 | $50,640.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,279.00 / $13,279.00 / $13,279.00
| Facility | | $13,279.00 | $13,279.00 | $13,279.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $33,715.83 / $42,604.53
| Facility | | $10,845.00 | $33,715.83 | $42,604.53 |