- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,021.90 / $24,857.10 / $32,670.80
| Facility | | $17,021.90 | $24,857.10 | $32,670.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,336.89 / $22,889.36 / $38,401.62
| Facility | | $8,336.89 | $22,889.36 | $38,401.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,916.39 / $25,082.64 / $45,545.80
| Facility | | $17,916.39 | $25,082.64 | $45,545.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,411.30 / $27,864.14 / $40,683.92
| Facility | | $21,411.30 | $27,864.14 | $40,683.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,411.30 / $25,903.43 / $40,683.92
| Facility | | $21,411.30 | $25,903.43 | $40,683.92 |