- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,487.30 / $33,864.19 / $47,948.10
| Facility | | $18,487.30 | $33,864.19 | $47,948.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,305.39 / $34,170.17 / $53,140.47
| Facility | | $21,305.39 | $34,170.17 | $53,140.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,221.18 / $30,462.66 / $54,197.90
| Facility | | $19,221.18 | $30,462.66 | $54,197.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $28,498.29 / $59,160.55
| Facility | | $7,117.00 | $28,498.29 | $59,160.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,520.00 / $28,741.49 / $64,089.12
| Facility | | $6,520.00 | $28,741.49 | $64,089.12 |