- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,731.40 / $35,387.60 / $57,519.80
| Facility | | $20,731.40 | $35,387.60 | $57,519.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,416.34 / $20,266.00 / $30,613.11
| Facility | | $12,416.34 | $20,266.00 | $30,613.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,710.79 / $28,117.22 / $44,357.64
| Facility | | $17,710.79 | $28,117.22 | $44,357.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,230.23 / $28,645.27 / $53,183.32
| Facility | | $16,230.23 | $28,645.27 | $53,183.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,602.32 / $31,996.93 / $42,595.22
| Facility | | $20,602.32 | $31,996.93 | $42,595.22 |