- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $52,480.75
| Facility | | $23,988.33 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,840.32 / $43,651.58
| Facility | | $19,952.62 | $28,840.32 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $35,481.34 / $53,703.18
| Facility | | $22,387.21 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $48,977.88
| Facility | | $19,498.45 | $30,902.95 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $22,387.21 / $37,153.52
| Facility | | $14,125.38 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $35,481.34 / $51,286.14
| Facility | | $8,709.64 | $35,481.34 | $51,286.14 |