- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,556.20 / $41,313.00 / $69,806.89
| Facility | | $24,556.20 | $41,313.00 | $69,806.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,217.17 / $41,217.17 / $41,329.32
| Facility | | $41,217.17 | $41,217.17 | $41,329.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,494.12 / $34,123.54 / $53,833.18
| Facility | | $21,494.12 | $34,123.54 | $53,833.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,513.88 / $35,030.19 / $65,628.05
| Facility | | $19,513.88 | $35,030.19 | $65,628.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,003.32 / $38,832.01 / $51,694.27
| Facility | | $25,003.32 | $38,832.01 | $51,694.27 |