- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.50 / $27,684.40 / $44,998.80
| Facility | | $16,218.50 | $27,684.40 | $44,998.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.00 / $17,954.59 / $26,920.39
| Facility | | $11,258.00 | $17,954.59 | $26,920.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,907.30 / $21,996.65 / $34,701.83
| Facility | | $13,907.30 | $21,996.65 | $34,701.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,478.74 / $18,233.22 / $34,998.05
| Facility | | $9,478.74 | $18,233.22 | $34,998.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,213.23 / $25,031.81 / $33,323.06
| Facility | | $16,213.23 | $25,031.81 | $33,323.06 |