- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,296.50 / $18,071.59 / $27,900.90
| Facility | | $12,296.50 | $18,071.59 | $27,900.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,981.31 / $24,981.31 / $24,981.31
| Facility | | $24,981.31 | $24,981.31 | $24,981.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,667.45 / $36,490.12 / $46,782.20
| Facility | | $25,667.45 | $36,490.12 | $46,782.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,839.30 / $26,756.99 / $33,842.75
| Facility | | $13,839.30 | $26,756.99 | $33,842.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,296.50 / $18,484.09 / $29,556.80
| Facility | | $12,296.50 | $18,484.09 | $29,556.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,380.64 / $24,591.07 / $37,360.99
| Facility | | $14,380.64 | $24,591.07 | $37,360.99 |