- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,483.50 / $25,531.10 / $33,556.69
| Facility | | $17,483.50 | $25,531.10 | $33,556.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,025.43 / $19,132.90 / $32,360.72
| Facility | | $7,025.43 | $19,132.90 | $32,360.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,760.84 / $25,644.57 / $42,923.22
| Facility | | $17,760.84 | $25,644.57 | $42,923.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,991.86 / $28,619.68 / $41,787.06
| Facility | | $21,991.86 | $28,619.68 | $41,787.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,582.45 / $24,439.08 / $39,013.66
| Facility | | $14,582.45 | $24,439.08 | $39,013.66 |