- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $36,307.81
| Facility | | $20,417.38 | $33,884.42 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $46,773.51
| Facility | | $22,908.68 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,199.52 / $41,686.94
| Facility | | $19,054.61 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,183.83 / $38,018.94
| Facility | | $19,498.45 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $15,488.17 / $47,863.01
| Facility | | $4,466.84 | $15,488.17 | $47,863.01 |