- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $48,977.88
| Facility | | $23,442.29 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $41,686.94
| Facility | | $17,782.79 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $50,118.72
| Facility | | $19,952.62 | $28,183.83 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $316.23 / $467.74
| Facility | | $181.97 | $316.23 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,902.95 / $45,708.82
| Facility | | $19,952.62 | $30,902.95 | $45,708.82 |