- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $31,622.78 / $44,668.36
| Facility | | $20,892.96 | $31,622.78 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $34,673.69 / $58,884.37
| Facility | | $12,882.50 | $34,673.69 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,302.68 / $44,668.36
| Facility | | $18,620.87 | $26,302.68 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $28,840.32 / $41,686.94
| Facility | | $23,442.29 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $28,183.83 / $40,738.03
| Facility | | $14,791.08 | $28,183.83 | $40,738.03 |