- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $39,810.72 / $54,954.09
| Facility | | $21,379.62 | $39,810.72 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,113.11 / $53,703.18
| Facility | | $22,387.21 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $32,359.37 / $58,884.37
| Facility | | $16,218.10 | $32,359.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $27,542.29 / $64,565.42
| Facility | | $7,079.46 | $27,542.29 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $25,703.96 / $61,659.50
| Facility | | $6,456.54 | $25,703.96 | $61,659.50 |