- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $33,113.11 / $38,018.94
| Facility | | $17,378.01 | $33,113.11 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $41,686.94
| Facility | | $36,307.81 | $36,307.81 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $28,840.32 / $34,673.69
| Facility | | $24,547.09 | $28,840.32 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $37,153.52 / $46,773.51
| Facility | | $22,908.68 | $37,153.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $41,686.94 / $47,863.01
| Facility | | $41,686.94 | $41,686.94 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $37,153.52 / $47,863.01
| Facility | | $1,862.09 | $37,153.52 | $47,863.01 |