- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,904.70 / $33,976.60 / $55,226.30
| Facility | | $19,904.70 | $33,976.60 | $55,226.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,888.00 / $30,064.53 / $36,180.03
| Facility | | $16,888.00 | $30,064.53 | $36,180.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,068.18 / $26,996.11 / $42,588.98
| Facility | | $17,068.18 | $26,996.11 | $42,588.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,021.78 / $22,484.81 / $42,952.51
| Facility | | $11,021.78 | $22,484.81 | $42,952.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $28,195.94 / $38,784.08
| Facility | | $6,842.00 | $28,195.94 | $38,784.08 |