- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,930.59 / $29,291.00 / $45,222.70
| Facility | | $19,930.59 | $29,291.00 | $45,222.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,613.18 / $66,267.60 / $84,958.46
| Facility | | $46,613.18 | $66,267.60 | $84,958.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,431.18 / $42,559.57 / $51,956.43
| Facility | | $22,431.18 | $42,559.57 | $51,956.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,930.59 / $29,959.60 / $47,906.60
| Facility | | $19,930.59 | $29,959.60 | $47,906.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,308.60 / $39,857.99 / $60,555.88
| Facility | | $23,308.60 | $39,857.99 | $60,555.88 |