- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,025.80 / $24,819.10 / $28,342.00
| Facility | | $16,025.80 | $24,819.10 | $28,342.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,774.93 / $23,859.12 / $32,223.55
| Facility | | $15,774.93 | $23,859.12 | $32,223.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,788.66 / $20,384.53 / $31,119.48
| Facility | | $14,788.66 | $20,384.53 | $31,119.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,465.00 / $21,034.00 / $29,931.00
| Facility | | $14,465.00 | $21,034.00 | $29,931.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $28,670.93 / $38,158.69
| Facility | | $5,274.00 | $28,670.93 | $38,158.69 |