- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,380.79 / $28,684.10 / $47,622.40
| Facility | | $19,380.79 | $28,684.10 | $47,622.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,418.34 / $24,899.07 / $41,276.29
| Facility | | $14,418.34 | $24,899.07 | $41,276.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,405.77 / $29,215.30 / $43,991.74
| Facility | | $22,405.77 | $29,215.30 | $43,991.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,782.25 / $29,389.90 / $72,730.46
| Facility | | $14,782.25 | $29,389.90 | $72,730.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,782.25 / $29,325.96 / $41,216.19
| Facility | | $14,782.25 | $29,325.96 | $41,216.19 |