- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $27,542.29 / $38,904.51
| Facility | | $18,197.01 | $27,542.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $16,595.87 / $28,183.83
| Facility | | $6,165.95 | $16,595.87 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,387.21 / $38,018.94
| Facility | | $16,218.10 | $22,387.21 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $25,118.86 / $36,307.81
| Facility | | $19,952.62 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $24,547.09 / $35,481.34
| Facility | | $12,882.50 | $24,547.09 | $35,481.34 |