- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,029.30 / $24,476.90 / $24,476.90
| Facility | | $22,029.30 | $24,476.90 | $24,476.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,444.50 / $16,411.03 / $26,997.82
| Facility | | $10,444.50 | $16,411.03 | $26,997.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,155.84 / $17,011.38 / $31,220.19
| Facility | | $9,155.84 | $17,011.38 | $31,220.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,275.98 / $26,949.92 / $42,353.69
| Facility | | $15,275.98 | $26,949.92 | $42,353.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $36,567.97 / $47,215.37
| Facility | | $6,965.00 | $36,567.97 | $47,215.37 |