- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,654.40 / $27,957.10 / $56,558.60
| Facility | | $20,654.40 | $27,957.10 | $56,558.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,375.42 / $28,485.89 / $33,461.32
| Facility | | $11,375.42 | $28,485.89 | $33,461.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,645.08 / $26,700.21 / $44,193.05
| Facility | | $17,645.08 | $26,700.21 | $44,193.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,935.16 / $27,591.69 / $50,939.15
| Facility | | $14,935.16 | $27,591.69 | $50,939.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,525.87 / $31,878.20 / $42,437.17
| Facility | | $20,525.87 | $31,878.20 | $42,437.17 |