- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,676.70 / $33,570.60 / $37,972.90
| Facility | | $21,676.70 | $33,570.60 | $37,972.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,128.15 / $33,497.96 / $46,039.10
| Facility | | $22,128.15 | $33,497.96 | $46,039.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $27,572.28 / $42,712.25
| Facility | | $16,339.00 | $27,572.28 | $42,712.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $27,286.00 / $40,216.00
| Facility | | $15,496.00 | $27,286.00 | $40,216.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $31,308.37 / $51,489.83
| Facility | | $5,274.00 | $31,308.37 | $51,489.83 |