- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,330.30 / $34,582.80 / $40,444.69
| Facility | | $22,330.30 | $34,582.80 | $40,444.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,482.59 / $34,034.51 / $48,004.96
| Facility | | $22,482.59 | $34,034.51 | $48,004.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,620.39 / $31,819.45 / $44,514.91
| Facility | | $20,620.39 | $31,819.45 | $44,514.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,781.00 / $28,740.00 / $41,706.00
| Facility | | $19,781.00 | $28,740.00 | $41,706.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $39,949.89 / $53,170.08
| Facility | | $5,274.00 | $39,949.89 | $53,170.08 |