- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,362.70 / $34,633.10 / $40,503.50
| Facility | | $22,362.70 | $34,633.10 | $40,503.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,270.82 / $33,713.94 / $47,552.78
| Facility | | $22,270.82 | $33,713.94 | $47,552.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,650.36 / $31,959.00 / $44,579.61
| Facility | | $20,650.36 | $31,959.00 | $44,579.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $31,498.00 / $41,870.00
| Facility | | $20,832.00 | $31,498.00 | $41,870.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $40,307.67 / $53,247.37
| Facility | | $5,274.00 | $40,307.67 | $53,247.37 |