- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,113.59 / $26,643.30 / $46,615.60
| Facility | | $20,113.59 | $26,643.30 | $46,615.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,607.18 / $21,959.45 / $22,637.16
| Facility | | $19,607.18 | $21,959.45 | $22,637.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,183.66 / $47,244.02
| Facility | | $5,939.30 | $23,183.66 | $47,244.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,168.03 / $25,562.00 / $41,619.60
| Facility | | $15,168.03 | $25,562.00 | $41,619.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $27,457.16 / $41,937.42
| Facility | | $3,496.00 | $27,457.16 | $41,937.42 |