- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,418.50 / $38,847.30 / $52,130.00
| Facility | | $23,418.50 | $38,847.30 | $52,130.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,770.52 / $26,473.11 / $42,338.92
| Facility | | $21,770.52 | $26,473.11 | $42,338.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,089.64 / $33,624.74 / $53,800.89
| Facility | | $19,089.64 | $33,624.74 | $53,800.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,229.71 / $31,278.00 / $71,732.97
| Facility | | $19,229.71 | $31,278.00 | $71,732.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,830.85 / $30,810.92 / $44,185.39
| Facility | | $22,830.85 | $30,810.92 | $44,185.39 |