- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $22,387.21 / $37,153.52
| Facility | | $17,782.79 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $40,738.03 / $53,703.18
| Facility | | $28,840.32 | $40,738.03 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $33,113.11 / $45,708.82
| Facility | | $26,915.35 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $33,113.11 / $44,668.36
| Facility | | $19,952.62 | $33,113.11 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $46,773.51
| Facility | | $20,417.38 | $33,884.42 | $46,773.51 |