- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,279.20 / $26,864.00 / $41,475.69
| Facility | | $18,279.20 | $26,864.00 | $41,475.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,457.36 / $43,299.70 / $55,512.43
| Facility | | $30,457.36 | $43,299.70 | $55,512.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,572.59 / $39,775.19 / $48,019.52
| Facility | | $20,572.59 | $39,775.19 | $48,019.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,279.20 / $27,477.20 / $43,937.20
| Facility | | $18,279.20 | $27,477.20 | $43,937.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,377.32 / $36,555.48 / $55,538.40
| Facility | | $21,377.32 | $36,555.48 | $55,538.40 |