- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $35,481.34
| Facility | | $19,498.45 | $32,359.37 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $32,359.37 / $45,708.82
| Facility | | $21,877.62 | $32,359.37 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $29,512.09 / $38,904.51
| Facility | | $18,197.01 | $29,512.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $36,307.81
| Facility | | $19,054.61 | $26,915.35 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $31,622.78 / $46,773.51
| Facility | | $4,073.80 | $31,622.78 | $46,773.51 |