- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,199.52 / $47,863.01
| Facility | | $21,877.62 | $30,199.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $25,703.96 / $39,810.72
| Facility | | $17,782.79 | $25,703.96 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $26,302.68 / $45,708.82
| Facility | | $9,549.93 | $26,302.68 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $24,547.09 / $42,657.95
| Facility | | $7,585.78 | $24,547.09 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,952.62 / $33,884.42
| Facility | | $12,589.25 | $19,952.62 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $32,359.37 / $45,708.82
| Facility | | $10,471.29 | $32,359.37 | $45,708.82 |