- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,492.59 / $31,722.10 / $35,898.60
| Facility | | $20,492.59 | $31,722.10 | $35,898.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,041.41 / $31,852.84 / $43,778.08
| Facility | | $21,041.41 | $31,852.84 | $43,778.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $26,066.12 / $40,379.04
| Facility | | $16,339.00 | $26,066.12 | $40,379.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,388.00 / $24,510.00 / $37,877.00
| Facility | | $14,388.00 | $24,510.00 | $37,877.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $29,598.12 / $48,677.14
| Facility | | $5,274.00 | $29,598.12 | $48,677.14 |