- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,442.59 / $27,104.10 / $41,846.40
| Facility | | $18,442.59 | $27,104.10 | $41,846.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,893.91 / $31,930.59 / $36,401.08
| Facility | | $23,893.91 | $31,930.59 | $36,401.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,684.88 / $45,044.79 / $57,749.73
| Facility | | $31,684.88 | $45,044.79 | $57,749.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,756.48 / $40,665.37 / $50,510.88
| Facility | | $20,756.48 | $40,665.37 | $50,510.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,442.59 / $27,722.80 / $44,330.00
| Facility | | $18,442.59 | $27,722.80 | $44,330.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,568.40 / $36,882.23 / $56,034.82
| Facility | | $21,568.40 | $36,882.23 | $56,034.82 |