- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,339.40 / $32,599.30 / $32,599.30
| Facility | | $29,339.40 | $32,599.30 | $32,599.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,142.03 / $24,162.08 / $33,038.54
| Facility | | $22,142.03 | $24,162.08 | $33,038.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,897.77 / $21,966.23 / $53,961.03
| Facility | | $13,897.77 | $21,966.23 | $53,961.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.00 / $36,801.89 / $56,408.25
| Facility | | $19,942.00 | $36,801.89 | $56,408.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,493.41 / $48,702.61 / $62,883.23
| Facility | | $27,493.41 | $48,702.61 | $62,883.23 |