- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,170.40 / $33,993.30 / $55,253.40
| Facility | | $21,170.40 | $33,993.30 | $55,253.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,746.62 / $26,071.74 / $33,085.55
| Facility | | $16,746.62 | $26,071.74 | $33,085.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,012.96 / $30,653.01 / $43,839.65
| Facility | | $17,012.96 | $30,653.01 | $43,839.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,712.57 / $26,722.30 / $51,087.81
| Facility | | $14,712.57 | $26,722.30 | $51,087.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,907.99 / $31,144.00 / $41,073.47
| Facility | | $19,907.99 | $31,144.00 | $41,073.47 |