- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $25,118.86 / $32,359.37
| Facility | | $17,782.79 | $25,118.86 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $21,877.62 / $30,199.52
| Facility | | $12,302.69 | $21,877.62 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $26,302.68 / $36,307.81
| Facility | | $13,803.84 | $26,302.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $23,442.29 / $29,512.09
| Facility | | $13,182.57 | $23,442.29 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $26,302.68 / $36,307.81
| Facility | | $12,882.50 | $26,302.68 | $36,307.81 |