- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,324.80 / $23,807.00 / $38,646.19
| Facility | | $16,324.80 | $23,807.00 | $38,646.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,953.58 / $35,722.25 / $49,958.16
| Facility | | $32,953.58 | $35,722.25 | $49,958.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,475.39 / $56,120.17 / $71,948.92
| Facility | | $39,475.39 | $56,120.17 | $71,948.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,169.15 / $37,061.76 / $45,619.54
| Facility | | $19,169.15 | $37,061.76 | $45,619.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,032.20 / $25,602.70 / $40,939.90
| Facility | | $17,032.20 | $25,602.70 | $40,939.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,468.79 / $34,061.69 / $51,749.62
| Facility | | $18,468.79 | $34,061.69 | $51,749.62 |