- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $17,571.59 / $28,697.50
| Facility | | $6,303.00 | $17,571.59 | $28,697.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,208.08 / $31,919.08 / $42,828.51
| Facility | | $23,208.08 | $31,919.08 | $42,828.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,014.96 / $26,112.59 / $36,605.56
| Facility | | $19,014.96 | $26,112.59 | $36,605.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,554.24 / $29,000.96 / $36,560.73
| Facility | | $16,554.24 | $29,000.96 | $36,560.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,554.24 / $29,242.38 / $38,345.48
| Facility | | $16,554.24 | $29,242.38 | $38,345.48 |