- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,394.59 / $30,036.40 / $33,975.19
| Facility | | $19,394.59 | $30,036.40 | $33,975.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,580.16 / $29,640.79 / $41,807.69
| Facility | | $19,580.16 | $29,640.79 | $41,807.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,909.52 / $27,885.83 / $38,215.64
| Facility | | $17,909.52 | $27,885.83 | $38,215.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,603.00 / $28,647.00 / $36,798.00
| Facility | | $23,603.00 | $28,647.00 | $36,798.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,697.86 / $46,180.05
| Facility | | $5,274.00 | $34,697.86 | $46,180.05 |