- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $21,877.62 / $35,481.34
| Facility | | $17,782.79 | $21,877.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,904.51 / $52,480.75
| Facility | | $27,542.29 | $38,904.51 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $31,622.78 / $44,668.36
| Facility | | $26,302.68 | $31,622.78 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $31,622.78 / $42,657.95
| Facility | | $19,498.45 | $31,622.78 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $44,668.36
| Facility | | $19,498.45 | $32,359.37 | $44,668.36 |