- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $19,498.45 / $32,359.37
| Facility | | $17,782.79 | $19,498.45 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $35,481.34 / $47,863.01
| Facility | | $25,118.86 | $35,481.34 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $28,840.32 / $40,738.03
| Facility | | $23,442.29 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,840.32 / $38,904.51
| Facility | | $17,378.01 | $28,840.32 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $40,738.03
| Facility | | $17,378.01 | $26,915.35 | $40,738.03 |