- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,315.34 / $25,672.00 / $42,577.80
| Facility | | $19,315.34 | $25,672.00 | $42,577.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,936.05 / $26,704.69 / $29,233.91
| Facility | | $16,936.05 | $26,704.69 | $29,233.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,705.78 / $23,528.18 / $40,636.30
| Facility | | $15,705.78 | $23,528.18 | $40,636.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,028.37 / $28,033.43 / $48,960.65
| Facility | | $21,028.37 | $28,033.43 | $48,960.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,741.88 / $27,461.76 / $44,022.37
| Facility | | $13,741.88 | $27,461.76 | $44,022.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,427.24 / $24,792.54 / $40,366.00
| Facility | | $16,427.24 | $24,792.54 | $40,366.00 |