- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,123.30 / $32,642.70 / $53,058.20
| Facility | | $19,123.30 | $32,642.70 | $53,058.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,947.95 / $29,947.95 / $32,021.46
| Facility | | $29,947.95 | $29,947.95 | $32,021.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,337.03 / $25,936.27 / $40,916.98
| Facility | | $16,337.03 | $25,936.27 | $40,916.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,643.97 / $25,548.79 / $47,307.07
| Facility | | $14,643.97 | $25,548.79 | $47,307.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,749.78 / $29,713.95 / $41,896.00
| Facility | | $19,749.78 | $29,713.95 | $41,896.00 |