- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $22,908.68 / $39,810.72
| Facility | | $18,197.01 | $22,908.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $30,902.95 / $40,738.03
| Facility | | $17,782.79 | $30,902.95 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $21,379.62 / $34,673.69
| Facility | | $13,182.57 | $21,379.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $38,904.51
| Facility | | $19,498.45 | $30,902.95 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,183.83 / $43,651.58
| Facility | | $16,982.44 | $28,183.83 | $43,651.58 |