- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,382.40 / $28,266.00 / $45,884.60
| Facility | | $19,382.40 | $28,266.00 | $45,884.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,575.47 / $51,997.48 / $66,663.44
| Facility | | $36,575.47 | $51,997.48 | $66,663.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,759.49 / $42,961.77 / $52,716.90
| Facility | | $22,759.49 | $42,961.77 | $52,716.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,222.30 / $30,398.10 / $48,607.80
| Facility | | $20,222.30 | $30,398.10 | $48,607.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,649.76 / $40,441.37 / $61,442.21
| Facility | | $23,649.76 | $40,441.37 | $61,442.21 |