- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $29,512.09 / $43,651.58
| Facility | | $19,952.62 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $23,988.33 / $37,153.52
| Facility | | $16,595.87 | $23,988.33 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $23,988.33 / $41,686.94
| Facility | | $9,549.93 | $23,988.33 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $22,908.68 / $39,810.72
| Facility | | $7,585.78 | $22,908.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,620.87 / $31,622.78
| Facility | | $11,748.98 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $29,512.09 / $42,657.95
| Facility | | $8,317.64 | $29,512.09 | $42,657.95 |