- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,655.40 / $27,399.00 / $43,861.60
| Facility | | $17,655.40 | $27,399.00 | $43,861.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,834.63 / $28,220.82 / $37,102.99
| Facility | | $17,834.63 | $28,220.82 | $37,102.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,197.70 / $21,783.23 / $30,912.88
| Facility | | $11,197.70 | $21,783.23 | $30,912.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,314.79 / $21,857.01 / $38,296.39
| Facility | | $16,314.79 | $21,857.01 | $38,296.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,019.80 / $24,753.28 / $33,170.12
| Facility | | $16,019.80 | $24,753.28 | $33,170.12 |