- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,174.09 / $35,122.40 / $49,729.50
| Facility | | $19,174.09 | $35,122.40 | $49,729.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,388.53 / $29,197.99 / $46,552.97
| Facility | | $18,388.53 | $29,197.99 | $46,552.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,935.30 / $31,594.43 / $56,211.51
| Facility | | $19,935.30 | $31,594.43 | $56,211.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $29,025.41 / $66,470.21
| Facility | | $7,117.00 | $29,025.41 | $66,470.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $28,208.45 / $59,068.90
| Facility | | $3,308.00 | $28,208.45 | $59,068.90 |