- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,199.52 / $45,708.82
| Facility | | $21,877.62 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,915.35 / $38,904.51
| Facility | | $16,218.10 | $26,915.35 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,302.68 / $46,773.51
| Facility | | $18,620.87 | $26,302.68 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $295.12 / $446.68
| Facility | | $181.97 | $295.12 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $42,657.95
| Facility | | $19,054.61 | $29,512.09 | $42,657.95 |