- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,135.30 / $26,765.70 / $35,917.50
| Facility | | $16,135.30 | $26,765.70 | $35,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,722.61 / $16,722.61 / $22,825.49
| Facility | | $16,722.61 | $16,722.61 | $22,825.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,898.03 / $22,738.66 / $36,382.74
| Facility | | $12,898.03 | $22,738.66 | $36,382.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,249.25 / $21,550.50 / $49,423.92
| Facility | | $13,249.25 | $21,550.50 | $49,423.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,945.03 / $20,853.70 / $29,821.58
| Facility | | $15,945.03 | $20,853.70 | $29,821.58 |