- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,478.99 / $24,502.22 / $24,502.22
| Facility | | $21,478.99 | $24,502.22 | $24,502.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,589.30 / $25,106.23 / $41,402.01
| Facility | | $13,589.30 | $25,106.23 | $41,402.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,546.15 / $31,098.00 / $41,264.12
| Facility | | $21,546.15 | $31,098.00 | $41,264.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,662.14 / $28,916.89 / $42,482.25
| Facility | | $18,662.14 | $28,916.89 | $42,482.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,550.35 / $26,944.05 / $40,984.10
| Facility | | $23,550.35 | $26,944.05 | $40,984.10 |