- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,362.59 / $28,237.10 / $45,837.70
| Facility | | $19,362.59 | $28,237.10 | $45,837.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,922.14 / $46,803.74 / $60,004.79
| Facility | | $32,922.14 | $46,803.74 | $60,004.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,736.24 / $42,917.88 / $52,663.04
| Facility | | $22,736.24 | $42,917.88 | $52,663.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,201.59 / $30,367.00 / $48,558.20
| Facility | | $20,201.59 | $30,367.00 | $48,558.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,625.60 / $40,400.06 / $61,379.44
| Facility | | $23,625.60 | $40,400.06 | $61,379.44 |