- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,680.20 / $24,358.10 / $32,014.90
| Facility | | $16,680.20 | $24,358.10 | $32,014.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,938.17 / $16,171.88 / $27,352.56
| Facility | | $5,938.17 | $16,171.88 | $27,352.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,556.71 / $24,579.09 / $43,842.15
| Facility | | $17,556.71 | $24,579.09 | $43,842.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,981.45 / $27,304.75 / $39,867.16
| Facility | | $20,981.45 | $27,304.75 | $39,867.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,981.45 / $25,383.41 / $39,867.16
| Facility | | $20,981.45 | $25,383.41 | $39,867.16 |