- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,492.00 / $33,272.19 / $54,081.20
| Facility | | $19,492.00 | $33,272.19 | $54,081.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,040.56 / $28,197.73 / $32,286.12
| Facility | | $20,040.56 | $28,197.73 | $32,286.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,714.31 / $26,436.38 / $41,705.94
| Facility | | $16,714.31 | $26,436.38 | $41,705.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,615.33 / $34,159.87 / $72,240.14
| Facility | | $16,615.33 | $34,159.87 | $72,240.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,485.66 / $30,087.35 / $40,202.14
| Facility | | $19,485.66 | $30,087.35 | $40,202.14 |