- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $31,622.78 / $45,708.82
| Facility | | $21,379.62 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $28,840.32 / $47,863.01
| Facility | | $10,715.19 | $28,840.32 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $45,708.82
| Facility | | $19,054.61 | $26,915.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $29,512.09 / $43,651.58
| Facility | | $23,988.33 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $28,840.32 / $41,686.94
| Facility | | $15,135.61 | $28,840.32 | $41,686.94 |