- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,826.59 / $30,822.30 / $43,641.10
| Facility | | $16,826.59 | $30,822.30 | $43,641.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,503.18 / $28,174.24 / $44,292.29
| Facility | | $17,503.18 | $28,174.24 | $44,292.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,494.62 / $27,726.32 / $49,329.53
| Facility | | $17,494.62 | $27,726.32 | $49,329.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $26,159.76 / $58,332.26
| Facility | | $7,117.00 | $26,159.76 | $58,332.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $23,458.70 / $51,837.09
| Facility | | $3,308.00 | $23,458.70 | $51,837.09 |