- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,742.30 / $31,992.50 / $52,001.20
| Facility | | $18,742.30 | $31,992.50 | $52,001.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,867.77 / $27,509.18 / $36,472.33
| Facility | | $16,867.77 | $27,509.18 | $36,472.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,071.45 / $25,419.60 / $40,101.87
| Facility | | $16,071.45 | $25,419.60 | $40,101.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,492.85 / $25,037.39 / $46,703.07
| Facility | | $14,492.85 | $25,037.39 | $46,703.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,736.21 / $28,927.08 / $38,508.55
| Facility | | $18,736.21 | $28,927.08 | $38,508.55 |