- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,372.40 / $31,361.00 / $50,974.70
| Facility | | $18,372.40 | $31,361.00 | $50,974.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,129.34 / $25,415.59 / $28,213.84
| Facility | | $22,129.34 | $25,415.59 | $28,213.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,849.01 / $24,917.83 / $39,310.29
| Facility | | $15,849.01 | $24,917.83 | $39,310.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,510.70 / $25,448.65 / $47,131.72
| Facility | | $13,510.70 | $25,448.65 | $47,131.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,757.00 / $28,356.07 / $37,748.41
| Facility | | $18,757.00 | $28,356.07 | $37,748.41 |