- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,200.20 / $34,481.00 / $56,046.10
| Facility | | $20,200.20 | $34,481.00 | $56,046.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,284.50 / $27,022.00 / $31,856.42
| Facility | | $13,284.50 | $27,022.00 | $31,856.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,321.57 / $27,396.86 / $43,221.20
| Facility | | $17,321.57 | $27,396.86 | $43,221.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,709.95 / $21,325.22 / $43,590.13
| Facility | | $9,709.95 | $21,325.22 | $43,590.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $28,614.50 / $39,359.83
| Facility | | $6,842.00 | $28,614.50 | $39,359.83 |