- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $57,543.99
| Facility | | $22,908.68 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $26,915.35 / $44,668.36
| Facility | | $19,952.62 | $26,915.35 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,302.68 / $33,884.42
| Facility | | $19,054.61 | $26,302.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,199.52 / $43,651.58
| Facility | | $19,054.61 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,183.83 / $38,904.51
| Facility | | $20,892.96 | $28,183.83 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $30,902.95 / $42,657.95
| Facility | | $10,471.29 | $30,902.95 | $42,657.95 |