- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,113.11 / $37,153.52
| Facility | | $23,988.33 | $33,113.11 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $19,054.61 / $19,054.61
| Facility | | $19,054.61 | $19,054.61 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,902.95 / $40,738.03
| Facility | | $17,378.01 | $30,902.95 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $23,988.33 / $58,884.37
| Facility | | $18,197.01 | $23,988.33 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $23,442.29 / $34,673.69
| Facility | | $14,791.08 | $23,442.29 | $34,673.69 |