- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $33,113.11
| Facility | | $18,197.01 | $25,703.96 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $22,387.21 / $30,902.95
| Facility | | $7,244.36 | $22,387.21 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $26,915.35 / $37,153.52
| Facility | | $14,125.38 | $26,915.35 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $25,703.96 / $30,199.52
| Facility | | $14,791.08 | $25,703.96 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $26,915.35 / $37,153.52
| Facility | | $13,182.57 | $26,915.35 | $37,153.52 |