- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,535.09 / $37,615.40 / $53,259.40
| Facility | | $20,535.09 | $37,615.40 | $53,259.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,095.07 / $35,279.54 / $55,042.49
| Facility | | $22,095.07 | $35,279.54 | $55,042.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,350.34 / $33,837.05 / $60,201.49
| Facility | | $21,350.34 | $33,837.05 | $60,201.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $31,256.12 / $71,188.37
| Facility | | $7,117.00 | $31,256.12 | $71,188.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $31,229.72 / $63,261.70
| Facility | | $3,308.00 | $31,229.72 | $63,261.70 |