- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $34,673.69
| Facility | | $19,054.61 | $29,512.09 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $32,359.37 / $44,668.36
| Facility | | $21,379.62 | $32,359.37 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,703.96 / $38,018.94
| Facility | | $16,218.10 | $25,703.96 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,908.68 / $35,481.34
| Facility | | $15,488.17 | $22,908.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $27,542.29 / $45,708.82
| Facility | | $4,073.80 | $27,542.29 | $45,708.82 |