- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,984.40 / $34,031.50 / $38,512.10
| Facility | | $21,984.40 | $34,031.50 | $38,512.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,326.14 / $36,825.32 / $51,941.31
| Facility | | $24,326.14 | $36,825.32 | $51,941.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,287.29 / $31,326.66 / $43,318.71
| Facility | | $20,287.29 | $31,326.66 | $43,318.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,820.00 / $27,749.00 / $41,444.00
| Facility | | $17,820.00 | $27,749.00 | $41,444.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $39,331.18 / $52,346.63
| Facility | | $5,274.00 | $39,331.18 | $52,346.63 |