- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,804.80 / $32,220.30 / $36,445.60
| Facility | | $20,804.80 | $32,220.30 | $36,445.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,793.06 / $29,963.07 / $42,262.26
| Facility | | $19,793.06 | $29,963.07 | $42,262.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,211.73 / $29,645.74 / $40,994.32
| Facility | | $19,211.73 | $29,645.74 | $40,994.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,896.00 / $27,108.00 / $38,857.00
| Facility | | $18,896.00 | $27,108.00 | $38,857.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $30,049.12 / $49,418.86
| Facility | | $5,274.00 | $30,049.12 | $49,418.86 |