- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,199.52 / $43,651.58
| Facility | | $20,417.38 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $14,454.40 / $23,988.33
| Facility | | $5,370.32 | $14,454.40 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $42,657.95
| Facility | | $18,197.01 | $25,703.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,183.83 / $40,738.03
| Facility | | $22,387.21 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $26,915.35 / $39,810.72
| Facility | | $14,125.38 | $26,915.35 | $39,810.72 |