- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $37,153.52
| Facility | | $23,442.29 | $32,359.37 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $21,877.62 / $32,359.37
| Facility | | $16,982.44 | $21,877.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,902.95 / $40,738.03
| Facility | | $17,378.01 | $30,902.95 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,442.29 / $57,543.99
| Facility | | $15,488.17 | $23,442.29 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,908.68 / $34,673.69
| Facility | | $14,454.40 | $22,908.68 | $34,673.69 |