- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,183.09 / $29,708.80 / $33,604.69
| Facility | | $19,183.09 | $29,708.80 | $33,604.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,593.75 / $28,147.53 / $39,701.49
| Facility | | $18,593.75 | $28,147.53 | $39,701.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,714.18 / $27,581.69 / $37,798.83
| Facility | | $17,714.18 | $27,581.69 | $37,798.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,449.14 / $25,780.00 / $33,998.00
| Facility | | $18,449.14 | $25,780.00 | $33,998.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,576.51 / $45,676.39
| Facility | | $5,274.00 | $34,576.51 | $45,676.39 |