- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,460.70 / $33,220.69 / $37,594.50
| Facility | | $21,460.70 | $33,220.69 | $37,594.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,197.87 / $29,062.05 / $39,942.44
| Facility | | $19,197.87 | $29,062.05 | $39,942.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $27,907.30 / $42,286.63
| Facility | | $16,339.00 | $27,907.30 | $42,286.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $23,670.00 / $37,874.00
| Facility | | $15,496.00 | $23,670.00 | $37,874.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $38,394.10 / $50,976.74
| Facility | | $5,274.00 | $38,394.10 | $50,976.74 |