- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,631.40 / $19,879.09 / $32,270.10
| Facility | | $13,631.40 | $19,879.09 | $32,270.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,016.74 / $38,408.33 / $49,241.46
| Facility | | $27,016.74 | $38,408.33 | $49,241.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,006.47 / $30,947.00 / $39,142.36
| Facility | | $16,006.47 | $30,947.00 | $39,142.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,222.10 / $21,378.60 / $34,185.30
| Facility | | $14,222.10 | $21,378.60 | $34,185.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,632.58 / $28,441.92 / $43,211.54
| Facility | | $16,632.58 | $28,441.92 | $43,211.54 |