- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $26,915.35 / $38,904.51
| Facility | | $18,197.01 | $26,915.35 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $30,902.95 / $52,480.75
| Facility | | $11,481.54 | $30,902.95 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,387.21 / $38,018.94
| Facility | | $16,218.10 | $22,387.21 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $25,118.86 / $36,307.81
| Facility | | $19,952.62 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $23,988.33 / $35,481.34
| Facility | | $12,589.25 | $23,988.33 | $35,481.34 |