- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,770.40 / $38,868.19 / $63,177.20
| Facility | | $22,770.40 | $38,868.19 | $63,177.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,947.00 / $31,744.91 / $41,923.82
| Facility | | $24,947.00 | $31,744.91 | $41,923.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,525.50 / $30,882.74 / $48,720.51
| Facility | | $19,525.50 | $30,882.74 | $48,720.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,691.64 / $19,793.03 / $49,136.39
| Facility | | $8,691.64 | $19,793.03 | $49,136.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $32,255.31 / $44,367.84
| Facility | | $6,842.00 | $32,255.31 | $44,367.84 |