- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,130.30 / $28,416.30 / $38,132.50
| Facility | | $17,130.30 | $28,416.30 | $38,132.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,446.43 / $19,446.43 / $20,112.83
| Facility | | $19,446.43 | $19,446.43 | $20,112.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,027.52 / $24,170.47 / $38,673.68
| Facility | | $14,027.52 | $24,170.47 | $38,673.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,066.32 / $22,879.50 / $52,471.85
| Facility | | $14,066.32 | $22,879.50 | $52,471.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,700.50 / $22,537.83 / $31,927.58
| Facility | | $16,700.50 | $22,537.83 | $31,927.58 |