- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $15,256.50 / $24,916.40
| Facility | | $6,303.00 | $15,256.50 | $24,916.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,150.28 / $27,713.55 / $37,185.60
| Facility | | $20,150.28 | $27,713.55 | $37,185.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,509.62 / $22,672.10 / $31,782.56
| Facility | | $16,509.62 | $22,672.10 | $31,782.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,373.12 / $25,179.91 / $31,743.63
| Facility | | $14,373.12 | $25,179.91 | $31,743.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,373.12 / $25,389.52 / $33,293.24
| Facility | | $14,373.12 | $25,389.52 | $33,293.24 |