- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $39,810.72
| Facility | | $18,197.01 | $25,703.96 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $21,877.62 / $33,884.42
| Facility | | $15,135.61 | $21,877.62 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $27,542.29 / $40,738.03
| Facility | | $16,982.44 | $27,542.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $23,442.29 / $37,153.52
| Facility | | $14,791.08 | $23,442.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,982.44 / $28,840.32
| Facility | | $10,715.19 | $16,982.44 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $27,542.29 / $38,018.94
| Facility | | $10,471.29 | $27,542.29 | $38,018.94 |