- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,435.50 / $25,441.80 / $28,791.40
| Facility | | $16,435.50 | $25,441.80 | $28,791.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,907.36 / $25,594.65 / $36,100.69
| Facility | | $16,907.36 | $25,594.65 | $36,100.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,176.95 / $23,419.64 / $34,480.00
| Facility | | $15,176.95 | $23,419.64 | $34,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,253.00 / $23,561.00 / $30,433.00
| Facility | | $15,253.00 | $23,561.00 | $30,433.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $29,403.78 / $39,134.06
| Facility | | $5,274.00 | $29,403.78 | $39,134.06 |