- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $31,622.78 / $50,118.72
| Facility | | $22,387.21 | $31,622.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,840.32 / $43,651.58
| Facility | | $18,197.01 | $28,840.32 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $50,118.72
| Facility | | $20,892.96 | $33,113.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,840.32 / $45,708.82
| Facility | | $18,197.01 | $28,840.32 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $34,673.69
| Facility | | $13,182.57 | $20,892.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $35,481.34 / $50,118.72
| Facility | | $10,964.78 | $35,481.34 | $50,118.72 |