- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,338.20 / $25,318.90 / $33,277.69
| Facility | | $17,338.20 | $25,318.90 | $33,277.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,844.62 / $24,507.29 / $31,426.22
| Facility | | $19,844.62 | $24,507.29 | $31,426.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,882.90 / $29,879.54 / $50,129.08
| Facility | | $10,882.90 | $29,879.54 | $50,129.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,613.18 / $25,431.38 / $42,566.39
| Facility | | $17,613.18 | $25,431.38 | $42,566.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,809.04 / $28,381.76 / $41,439.68
| Facility | | $21,809.04 | $28,381.76 | $41,439.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,809.04 / $26,384.63 / $41,439.68
| Facility | | $21,809.04 | $26,384.63 | $41,439.68 |