- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $19,003.30 / $31,035.70
| Facility | | $6,303.00 | $19,003.30 | $31,035.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,099.02 / $34,519.76 / $46,318.07
| Facility | | $25,099.02 | $34,519.76 | $46,318.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,564.25 / $28,240.18 / $39,588.10
| Facility | | $20,564.25 | $28,240.18 | $39,588.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,903.04 / $31,363.89 / $39,539.61
| Facility | | $17,903.04 | $31,363.89 | $39,539.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,903.04 / $31,624.97 / $41,469.78
| Facility | | $17,903.04 | $31,624.97 | $41,469.78 |