- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,919.40 / $34,001.60 / $55,266.90
| Facility | | $19,919.40 | $34,001.60 | $55,266.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,155.98 / $30,062.35 / $32,942.83
| Facility | | $21,155.98 | $30,062.35 | $32,942.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,080.75 / $27,015.98 / $42,620.33
| Facility | | $17,080.75 | $27,015.98 | $42,620.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,891.04 / $26,436.83 / $49,126.35
| Facility | | $13,891.04 | $26,436.83 | $49,126.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $28,216.69 / $38,812.64
| Facility | | $6,842.00 | $28,216.69 | $38,812.64 |