- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $27,542.29 / $46,773.51
| Facility | | $18,620.87 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $21,877.62 / $37,153.52
| Facility | | $16,218.10 | $21,877.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $19,498.45 / $25,118.86
| Facility | | $15,488.17 | $19,498.45 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $36,307.81
| Facility | | $15,848.93 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $23,988.33 / $33,113.11
| Facility | | $17,782.79 | $23,988.33 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $25,118.86 / $34,673.69
| Facility | | $8,709.64 | $25,118.86 | $34,673.69 |