- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,054.40 / $38,801.69 / $45,378.70
| Facility | | $25,054.40 | $38,801.69 | $45,378.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,882.33 / $37,667.28 / $53,128.88
| Facility | | $24,882.33 | $37,667.28 | $53,128.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,135.93 / $34,024.48 / $49,945.40
| Facility | | $23,135.93 | $34,024.48 | $49,945.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $33,009.00 / $46,393.00
| Facility | | $20,832.00 | $33,009.00 | $46,393.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $44,823.49 / $59,656.45
| Facility | | $5,274.00 | $44,823.49 | $59,656.45 |