- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,697.20 / $38,743.19 / $62,974.00
| Facility | | $22,697.20 | $38,743.19 | $62,974.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,408.47 / $38,317.43 / $40,472.56
| Facility | | $33,408.47 | $38,317.43 | $40,472.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,390.18 / $30,783.38 / $48,563.76
| Facility | | $19,390.18 | $30,783.38 | $48,563.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,876.86 / $30,320.52 / $57,211.37
| Facility | | $15,876.86 | $30,320.52 | $57,211.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,555.89 / $35,030.97 / $46,634.22
| Facility | | $22,555.89 | $35,030.97 | $46,634.22 |