- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,173.30 / $32,256.80 / $54,504.70
| Facility | | $19,173.30 | $32,256.80 | $54,504.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,266.00 / $27,918.27 / $40,143.62
| Facility | | $20,266.00 | $27,918.27 | $40,143.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,177.21 / $29,436.43 / $71,898.52
| Facility | | $20,177.21 | $29,436.43 | $71,898.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,568.19 / $19,614.09 / $42,391.30
| Facility | | $9,568.19 | $19,614.09 | $42,391.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $27,827.53 / $38,277.33
| Facility | | $6,842.00 | $27,827.53 | $38,277.33 |