- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,417.38 / $33,113.11
| Facility | | $17,782.79 | $20,417.38 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $36,307.81 / $48,977.88
| Facility | | $25,703.96 | $36,307.81 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,199.52 / $41,686.94
| Facility | | $24,547.09 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,199.52 / $39,810.72
| Facility | | $18,197.01 | $30,199.52 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,902.95 / $41,686.94
| Facility | | $18,620.87 | $30,902.95 | $41,686.94 |