- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,294.94 / $30,762.60 / $51,073.30
| Facility | | $23,294.94 | $30,762.60 | $51,073.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,453.70 / $27,644.73 / $46,830.74
| Facility | | $18,453.70 | $27,644.73 | $46,830.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,516.42 / $33,626.85 / $52,879.00
| Facility | | $26,516.42 | $33,626.85 | $52,879.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,853.41 / $31,519.57 / $52,806.02
| Facility | | $15,853.41 | $31,519.57 | $52,806.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,853.41 / $31,451.00 / $44,202.82
| Facility | | $15,853.41 | $31,451.00 | $44,202.82 |