- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,068.90 / $29,532.00 / $33,404.69
| Facility | | $19,068.90 | $29,532.00 | $33,404.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,865.91 / $27,045.73 / $38,147.41
| Facility | | $17,865.91 | $27,045.73 | $38,147.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,596.84 / $27,821.35 / $37,573.90
| Facility | | $17,596.84 | $27,821.35 | $37,573.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,713.03 / $26,034.00 / $35,189.00
| Facility | | $17,713.03 | $26,034.00 | $35,189.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,115.19 / $45,404.57
| Facility | | $5,274.00 | $34,115.19 | $45,404.57 |