- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,354.20 / $31,788.60 / $45,009.30
| Facility | | $17,354.20 | $31,788.60 | $45,009.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,896.82 / $30,344.73 / $47,864.19
| Facility | | $18,896.82 | $30,344.73 | $47,864.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,043.08 / $28,595.55 / $50,876.02
| Facility | | $18,043.08 | $28,595.55 | $50,876.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $26,979.87 / $60,160.99
| Facility | | $7,117.00 | $26,979.87 | $60,160.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $26,392.11 / $53,462.19
| Facility | | $3,308.00 | $26,392.11 | $53,462.19 |