- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,020.10 / $23,394.10 / $30,747.80
| Facility | | $16,020.10 | $23,394.10 | $30,747.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,460.09 / $28,210.10 / $47,713.59
| Facility | | $10,460.09 | $28,210.10 | $47,713.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,274.20 / $23,498.03 / $42,107.01
| Facility | | $16,274.20 | $23,498.03 | $42,107.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,151.07 / $26,224.11 / $38,289.33
| Facility | | $20,151.07 | $26,224.11 | $38,289.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,671.27 / $25,235.04 / $36,999.94
| Facility | | $16,671.27 | $25,235.04 | $36,999.94 |