- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,384.70 / $37,210.19 / $61,714.30
| Facility | | $22,384.70 | $37,210.19 | $61,714.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,507.64 / $32,924.78 / $54,580.86
| Facility | | $21,507.64 | $32,924.78 | $54,580.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,344.98 / $37,860.37 / $57,009.31
| Facility | | $29,344.98 | $37,860.37 | $57,009.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,918.13 / $38,003.78 / $63,808.11
| Facility | | $19,918.13 | $38,003.78 | $63,808.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,156.46 / $36,815.07 / $53,412.44
| Facility | | $19,156.46 | $36,815.07 | $53,412.44 |