- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,960.90 / $34,010.80 / $38,470.90
| Facility | | $21,960.90 | $34,010.80 | $38,470.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,448.24 / $32,468.71 / $44,624.51
| Facility | | $21,448.24 | $32,468.71 | $44,624.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $27,933.88 / $43,272.40
| Facility | | $16,339.00 | $27,933.88 | $43,272.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $27,804.00 / $40,743.00
| Facility | | $15,496.00 | $27,804.00 | $40,743.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,102.50 / $31,718.96 / $52,165.09
| Facility | | $5,102.50 | $31,718.96 | $52,165.09 |