- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,596.59 / $25,691.20 / $29,073.70
| Facility | | $16,596.59 | $25,691.20 | $29,073.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,377.93 / $24,771.14 / $33,455.29
| Facility | | $16,377.93 | $24,771.14 | $33,455.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,315.39 / $21,110.56 / $32,702.39
| Facility | | $15,315.39 | $21,110.56 | $32,702.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,371.00 / $20,739.00 / $30,791.00
| Facility | | $14,371.00 | $20,739.00 | $30,791.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $23,047.23 / $39,422.90
| Facility | | $5,274.00 | $23,047.23 | $39,422.90 |