- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,492.20 / $24,051.10 / $39,042.50
| Facility | | $16,492.20 | $24,051.10 | $39,042.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,787.84 / $30,018.40 / $37,100.85
| Facility | | $29,787.84 | $30,018.40 | $37,100.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,778.46 / $40,912.87 / $52,452.41
| Facility | | $28,778.46 | $40,912.87 | $52,452.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,691.16 / $37,441.80 / $46,036.63
| Facility | | $18,691.16 | $37,441.80 | $46,036.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,206.90 / $25,865.30 / $41,359.69
| Facility | | $17,206.90 | $25,865.30 | $41,359.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,123.23 / $32,860.71 / $51,678.31
| Facility | | $20,123.23 | $32,860.71 | $51,678.31 |