- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $23,442.29 / $38,904.51
| Facility | | $17,782.79 | $23,442.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $42,657.95 / $56,234.13
| Facility | | $30,199.52 | $42,657.95 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $34,673.69 / $47,863.01
| Facility | | $28,183.83 | $34,673.69 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $34,673.69 / $46,773.51
| Facility | | $20,892.96 | $34,673.69 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $35,481.34 / $48,977.88
| Facility | | $21,379.62 | $35,481.34 | $48,977.88 |