- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,623.59 / $24,275.50 / $31,906.30
| Facility | | $16,623.59 | $24,275.50 | $31,906.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,954.38 / $13,361.60 / $22,599.35
| Facility | | $4,954.38 | $13,361.60 | $22,599.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,887.34 / $24,383.33 / $40,812.19
| Facility | | $16,887.34 | $24,383.33 | $40,812.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,910.27 / $27,212.12 / $39,731.92
| Facility | | $20,910.27 | $27,212.12 | $39,731.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,690.43 / $26,185.79 / $37,745.17
| Facility | | $17,690.43 | $26,185.79 | $37,745.17 |