- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $18,620.87 / $30,902.95
| Facility | | $17,378.01 | $18,620.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $33,884.42 / $44,668.36
| Facility | | $23,442.29 | $33,884.42 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $27,542.29 / $38,018.94
| Facility | | $22,387.21 | $27,542.29 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $27,542.29 / $37,153.52
| Facility | | $16,595.87 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,183.83 / $38,904.51
| Facility | | $16,982.44 | $28,183.83 | $38,904.51 |