- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $34,673.69 / $39,810.72
| Facility | | $21,877.62 | $34,673.69 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $50,118.72
| Facility | | $24,547.09 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $32,359.37 / $43,651.58
| Facility | | $20,417.38 | $32,359.37 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $38,904.51
| Facility | | $19,054.61 | $26,915.35 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $17,782.79 / $51,286.14
| Facility | | $4,466.84 | $17,782.79 | $51,286.14 |