- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $29,512.09 / $37,153.52
| Facility | | $20,417.38 | $29,512.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,302.68 / $39,810.72
| Facility | | $16,982.44 | $26,302.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,902.95 / $45,708.82
| Facility | | $19,054.61 | $30,902.95 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $28,183.83 / $41,686.94
| Facility | | $16,595.87 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $19,054.61 / $32,359.37
| Facility | | $12,022.64 | $19,054.61 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $30,199.52 / $43,651.58
| Facility | | $7,413.10 | $30,199.52 | $43,651.58 |