- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,405.80 / $19,701.80 / $30,417.90
| Facility | | $13,405.80 | $19,701.80 | $30,417.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,985.13 / $24,985.13 / $33,457.99
| Facility | | $24,985.13 | $24,985.13 | $33,457.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,403.61 / $30,428.43 / $39,010.81
| Facility | | $21,403.61 | $30,428.43 | $39,010.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,087.75 / $29,170.74 / $36,895.71
| Facility | | $15,087.75 | $29,170.74 | $36,895.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,405.80 / $20,151.50 / $32,223.20
| Facility | | $13,405.80 | $20,151.50 | $32,223.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,677.92 / $26,809.44 / $40,731.33
| Facility | | $15,677.92 | $26,809.44 | $40,731.33 |