- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,697.59 / $29,876.50 / $52,574.00
| Facility | | $17,697.59 | $29,876.50 | $52,574.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,299.09 / $28,495.51 / $46,717.58
| Facility | | $19,299.09 | $28,495.51 | $46,717.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,098.76 / $27,538.85 / $37,159.28
| Facility | | $16,098.76 | $27,538.85 | $37,159.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,864.65 / $55,864.65 / $65,561.91
| Facility | | $55,864.65 | $55,864.65 | $65,561.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $28,408.95 / $37,214.00
| Facility | | $2,520.00 | $28,408.95 | $37,214.00 |