- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,410.80 / $31,610.20 / $35,755.50
| Facility | | $20,410.80 | $31,610.20 | $35,755.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,350.57 / $29,293.21 / $41,317.44
| Facility | | $19,350.57 | $29,293.21 | $41,317.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,847.93 / $29,084.37 / $40,218.06
| Facility | | $18,847.93 | $29,084.37 | $40,218.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,896.00 / $27,662.00 / $37,656.00
| Facility | | $18,896.00 | $27,662.00 | $37,656.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $31,320.00 / $48,448.41
| Facility | | $5,274.00 | $31,320.00 | $48,448.41 |