- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $29,512.09 / $33,113.11
| Facility | | $18,197.01 | $29,512.09 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,199.52 / $41,686.94
| Facility | | $20,417.38 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $36,307.81
| Facility | | $15,848.93 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,442.29 / $33,113.11
| Facility | | $15,488.17 | $23,442.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $28,840.32 / $43,651.58
| Facility | | $4,073.80 | $28,840.32 | $43,651.58 |