- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,884.42 / $47,863.01
| Facility | | $22,387.21 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $27,542.29 / $46,773.51
| Facility | | $10,232.93 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $26,915.35 / $46,773.51
| Facility | | $19,952.62 | $26,915.35 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $44,668.36
| Facility | | $24,547.09 | $30,902.95 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $30,199.52 / $43,651.58
| Facility | | $15,848.93 | $30,199.52 | $43,651.58 |