- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $27,542.29 / $57,543.99
| Facility | | $22,387.21 | $27,542.29 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $21,877.62 / $21,877.62
| Facility | | $21,877.62 | $21,877.62 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $39,810.72
| Facility | | $19,498.45 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,113.11 / $63,095.73
| Facility | | $21,379.62 | $33,113.11 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,840.32 / $41,686.94
| Facility | | $18,620.87 | $28,840.32 | $41,686.94 |