- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,199.52 / $38,904.51
| Facility | | $21,877.62 | $30,199.52 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $37,153.52
| Facility | | $17,378.01 | $26,915.35 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $31,622.78 / $44,668.36
| Facility | | $16,595.87 | $31,622.78 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,840.32 / $37,153.52
| Facility | | $17,378.01 | $28,840.32 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $31,622.78 / $44,668.36
| Facility | | $15,848.93 | $31,622.78 | $44,668.36 |