- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $23,442.29 / $33,113.11
| Facility | | $8,912.51 | $23,442.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,379.62 / $32,359.37
| Facility | | $15,488.17 | $21,379.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,183.83 / $44,668.36
| Facility | | $18,197.01 | $28,183.83 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $44,668.36
| Facility | | $15,135.61 | $20,892.96 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,054.61 / $38,018.94
| Facility | | $13,182.57 | $19,054.61 | $38,018.94 |