- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,019.50 / $37,586.50 / $61,093.80
| Facility | | $22,019.50 | $37,586.50 | $61,093.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,580.15 / $23,673.00 / $35,025.68
| Facility | | $19,580.15 | $23,673.00 | $35,025.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,895.00 / $29,864.30 / $47,113.83
| Facility | | $18,895.00 | $29,864.30 | $47,113.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,395.24 / $38,009.47 / $71,249.06
| Facility | | $18,395.24 | $38,009.47 | $71,249.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,012.30 / $33,985.07 / $45,241.90
| Facility | | $22,012.30 | $33,985.07 | $45,241.90 |