- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,184.30 / $32,386.30 / $56,990.60
| Facility | | $19,184.30 | $32,386.30 | $56,990.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,600.23 / $27,906.73 / $45,528.46
| Facility | | $18,600.23 | $27,906.73 | $45,528.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,451.15 / $29,357.35 / $40,280.89
| Facility | | $17,451.15 | $29,357.35 | $40,280.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,720.20 / $62,720.20 / $73,607.48
| Facility | | $62,720.20 | $62,720.20 | $73,607.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $28,224.40 / $40,315.33
| Facility | | $1,787.00 | $28,224.40 | $40,315.33 |