- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,903.50 / $37,388.50 / $60,771.90
| Facility | | $21,903.50 | $37,388.50 | $60,771.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,317.00 / $24,947.00 / $38,767.67
| Facility | | $13,317.00 | $24,947.00 | $38,767.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,782.13 / $29,706.98 / $46,865.64
| Facility | | $18,782.13 | $29,706.98 | $46,865.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,003.18 / $33,419.55 / $62,514.24
| Facility | | $18,003.18 | $33,419.55 | $62,514.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,896.34 / $33,809.62 / $49,791.49
| Facility | | $21,896.34 | $33,809.62 | $49,791.49 |