- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,940.20 / $23,277.40 / $30,594.50
| Facility | | $15,940.20 | $23,277.40 | $30,594.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,589.75 / $21,500.81 / $25,763.86
| Facility | | $16,589.75 | $21,500.81 | $25,763.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,933.48 / $16,159.11 / $27,330.96
| Facility | | $5,933.48 | $16,159.11 | $27,330.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,193.05 / $23,380.86 / $39,134.26
| Facility | | $16,193.05 | $23,380.86 | $39,134.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,050.59 / $26,093.35 / $38,098.41
| Facility | | $20,050.59 | $26,093.35 | $38,098.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,588.14 / $25,109.21 / $36,193.35
| Facility | | $16,588.14 | $25,109.21 | $36,193.35 |