- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,221.20 / $25,114.30 / $40,768.30
| Facility | | $17,221.20 | $25,114.30 | $40,768.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,967.54 / $69,614.67 / $89,249.59
| Facility | | $48,967.54 | $69,614.67 | $89,249.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,221.74 / $39,096.83 / $48,019.52
| Facility | | $20,221.74 | $39,096.83 | $48,019.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,967.50 / $27,008.60 / $43,187.90
| Facility | | $17,967.50 | $27,008.60 | $43,187.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,012.73 / $34,356.29 / $53,962.63
| Facility | | $21,012.73 | $34,356.29 | $53,962.63 |