- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,168.00 / $21,931.70 / $24,819.20
| Facility | | $14,168.00 | $21,931.70 | $24,819.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,804.32 / $20,878.63 / $28,198.16
| Facility | | $13,804.32 | $20,878.63 | $28,198.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,083.08 / $18,021.34 / $27,511.80
| Facility | | $13,083.08 | $18,021.34 | $27,511.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,147.80 / $19,082.00 / $26,235.00
| Facility | | $13,147.80 | $19,082.00 | $26,235.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $25,347.12 / $33,734.97
| Facility | | $5,274.00 | $25,347.12 | $33,734.97 |