- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,262.40 / $28,091.00 / $45,600.50
| Facility | | $19,262.40 | $28,091.00 | $45,600.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,422.47 / $37,563.49 / $48,158.32
| Facility | | $26,422.47 | $37,563.49 | $48,158.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,618.58 / $42,695.78 / $52,390.52
| Facility | | $22,618.58 | $42,695.78 | $52,390.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,097.09 / $30,209.90 / $48,306.90
| Facility | | $20,097.09 | $30,209.90 | $48,306.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,503.34 / $40,191.00 / $61,061.81
| Facility | | $23,503.34 | $40,191.00 | $61,061.81 |