- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,704.30 / $26,380.60 / $42,231.40
| Facility | | $17,704.30 | $26,380.60 | $42,231.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,972.89 / $16,972.89 / $28,346.98
| Facility | | $16,972.89 | $16,972.89 | $28,346.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,023.64 / $21,444.62 / $30,432.35
| Facility | | $11,023.64 | $21,444.62 | $30,432.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,708.39 / $21,044.62 / $36,872.96
| Facility | | $15,708.39 | $21,044.62 | $36,872.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,424.36 / $23,833.23 / $31,937.24
| Facility | | $15,424.36 | $23,833.23 | $31,937.24 |