- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,884.42 / $57,543.99
| Facility | | $19,054.61 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $27,542.29 / $30,199.52
| Facility | | $11,748.98 | $27,542.29 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,703.96 / $38,904.51
| Facility | | $15,848.93 | $25,703.96 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $47,863.01
| Facility | | $13,489.63 | $25,703.96 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,199.52 / $42,657.95
| Facility | | $18,197.01 | $30,199.52 | $42,657.95 |