- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,434.40 / $35,599.10 / $50,404.50
| Facility | | $19,434.40 | $35,599.10 | $50,404.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,959.79 / $34,001.08 / $53,474.64
| Facility | | $20,959.79 | $34,001.08 | $53,474.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,205.90 / $32,023.29 / $56,974.52
| Facility | | $20,205.90 | $32,023.29 | $56,974.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $30,538.94 / $67,372.47
| Facility | | $7,117.00 | $30,538.94 | $67,372.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $29,555.72 / $59,870.69
| Facility | | $3,308.00 | $29,555.72 | $59,870.69 |