- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $22,908.68 / $37,153.52
| Facility | | $17,782.79 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $40,738.03 / $54,954.09
| Facility | | $28,840.32 | $40,738.03 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $33,884.42 / $46,773.51
| Facility | | $27,542.29 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,113.11 / $44,668.36
| Facility | | $20,417.38 | $33,113.11 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,902.95 / $46,773.51
| Facility | | $20,417.38 | $30,902.95 | $46,773.51 |