- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,941.90 / $31,603.60 / $52,469.50
| Facility | | $19,941.90 | $31,603.60 | $52,469.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,514.43 / $26,932.70 / $47,144.91
| Facility | | $15,514.43 | $26,932.70 | $47,144.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,215.00 / $33,708.89 / $48,267.03
| Facility | | $26,215.00 | $33,708.89 | $48,267.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,286.80 / $33,841.66 / $83,071.21
| Facility | | $16,286.80 | $33,841.66 | $83,071.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,934.38 / $29,883.08 / $44,831.39
| Facility | | $16,934.38 | $29,883.08 | $44,831.39 |