- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,158.70 / $36,117.10 / $58,705.50
| Facility | | $21,158.70 | $36,117.10 | $58,705.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,177.00 / $29,412.34 / $39,262.48
| Facility | | $11,177.00 | $29,412.34 | $39,262.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,143.46 / $27,953.41 / $45,272.01
| Facility | | $18,143.46 | $27,953.41 | $45,272.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,863.45 / $24,744.02 / $45,658.45
| Facility | | $12,863.45 | $24,744.02 | $45,658.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,151.78 / $32,659.97 / $43,639.62
| Facility | | $21,151.78 | $32,659.97 | $43,639.62 |