- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $32,359.37 / $48,977.88
| Facility | | $22,908.68 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,840.32 / $41,686.94
| Facility | | $17,378.01 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $50,118.72
| Facility | | $19,054.61 | $28,183.83 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $316.23 / $478.63
| Facility | | $181.97 | $316.23 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $45,708.82
| Facility | | $19,498.45 | $30,902.95 | $45,708.82 |