- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,841.20 / $35,575.19 / $57,824.70
| Facility | | $20,841.20 | $35,575.19 | $57,824.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,723.00 / $26,844.37 / $27,786.98
| Facility | | $15,723.00 | $26,844.37 | $27,786.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,871.24 / $28,266.26 / $44,592.76
| Facility | | $17,871.24 | $28,266.26 | $44,592.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,852.47 / $38,161.16 / $77,126.06
| Facility | | $17,852.47 | $38,161.16 | $77,126.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,590.00 / $27,899.00 / $40,054.12
| Facility | | $8,590.00 | $27,899.00 | $40,054.12 |