- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,977.00 / $32,092.90 / $42,181.10
| Facility | | $21,977.00 | $32,092.90 | $42,181.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,849.11 / $26,822.85 / $45,367.23
| Facility | | $9,849.11 | $26,822.85 | $45,367.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,325.60 / $32,235.54 / $53,955.01
| Facility | | $22,325.60 | $32,235.54 | $53,955.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,644.04 / $35,975.29 / $52,526.85
| Facility | | $27,644.04 | $35,975.29 | $52,526.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,644.04 / $33,443.83 / $52,526.85
| Facility | | $27,644.04 | $33,443.83 | $52,526.85 |