- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,791.70 / $25,396.00 / $42,163.40
| Facility | | $19,791.70 | $25,396.00 | $42,163.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,581.15 / $22,321.43 / $37,726.51
| Facility | | $14,581.15 | $22,321.43 | $37,726.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,890.57 / $27,087.79 / $38,948.94
| Facility | | $21,890.57 | $27,087.79 | $38,948.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,087.75 / $26,020.91 / $65,201.15
| Facility | | $13,087.75 | $26,020.91 | $65,201.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,087.75 / $25,964.30 / $36,491.55
| Facility | | $13,087.75 | $25,964.30 | $36,491.55 |