- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,027.20 / $24,415.10 / $40,534.80
| Facility | | $19,027.20 | $24,415.10 | $40,534.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,689.84 / $22,830.36 / $42,496.75
| Facility | | $15,689.84 | $22,830.36 | $42,496.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,045.03 / $26,688.30 / $39,581.00
| Facility | | $21,045.03 | $26,688.30 | $39,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,582.23 / $26,144.07 / $66,687.73
| Facility | | $12,582.23 | $26,144.07 | $66,687.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,082.50 / $23,085.90 / $34,634.08
| Facility | | $13,082.50 | $23,085.90 | $34,634.08 |