- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,423.20 / $26,903.40 / $35,360.30
| Facility | | $18,423.20 | $26,903.40 | $35,360.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,508.15 / $35,671.93 / $66,472.89
| Facility | | $12,508.15 | $35,671.93 | $66,472.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,391.32 / $27,147.51 / $48,423.50
| Facility | | $19,391.32 | $27,147.51 | $48,423.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,173.94 / $30,158.00 / $44,033.14
| Facility | | $23,173.94 | $30,158.00 | $44,033.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,172.13 / $29,020.56 / $41,831.32
| Facility | | $19,172.13 | $29,020.56 | $41,831.32 |