- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $36,307.81
| Facility | | $20,417.38 | $33,884.42 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $46,773.51
| Facility | | $22,908.68 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,199.52 / $40,738.03
| Facility | | $19,054.61 | $30,199.52 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $37,153.52
| Facility | | $19,054.61 | $28,183.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $32,359.37 / $48,977.88
| Facility | | $4,073.80 | $32,359.37 | $48,977.88 |