- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $32,359.37 / $43,651.58
| Facility | | $17,378.01 | $32,359.37 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $23,988.33 / $39,810.72
| Facility | | $16,595.87 | $23,988.33 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $34,673.69 / $46,773.51
| Facility | | $16,595.87 | $34,673.69 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $23,988.33 / $51,286.14
| Facility | | $7,943.28 | $23,988.33 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $23,442.29 / $51,286.14
| Facility | | $6,456.54 | $23,442.29 | $51,286.14 |