- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $56,234.13
| Facility | | $19,054.61 | $29,512.09 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $28,183.83 / $31,622.78
| Facility | | $11,481.54 | $28,183.83 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,118.86 / $39,810.72
| Facility | | $16,218.10 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $24,547.09 / $45,708.82
| Facility | | $13,182.57 | $24,547.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $38,904.51
| Facility | | $19,054.61 | $28,840.32 | $38,904.51 |