- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,077.30 / $31,093.70 / $35,171.19
| Facility | | $20,077.30 | $31,093.70 | $35,171.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,320.06 / $32,274.67 / $45,522.72
| Facility | | $21,320.06 | $32,274.67 | $45,522.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,539.96 / $28,609.12 / $39,560.87
| Facility | | $18,539.96 | $28,609.12 | $39,560.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,896.00 / $27,878.00 / $37,498.00
| Facility | | $18,896.00 | $27,878.00 | $37,498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,008.00 / $27,880.79 / $47,690.83
| Facility | | $4,008.00 | $27,880.79 | $47,690.83 |