- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,689.09 / $34,234.00 / $48,471.70
| Facility | | $18,689.09 | $34,234.00 | $48,471.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,010.40 / $30,527.12 / $48,039.89
| Facility | | $19,010.40 | $30,527.12 | $48,039.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,431.06 / $30,795.29 / $54,789.70
| Facility | | $19,431.06 | $30,795.29 | $54,789.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $27,494.95 / $64,788.92
| Facility | | $7,117.00 | $27,494.95 | $64,788.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $28,422.34 / $57,574.82
| Facility | | $3,308.00 | $28,422.34 | $57,574.82 |