- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $34,673.69 / $38,018.94
| Facility | | $20,892.96 | $34,673.69 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $34,673.69 / $47,863.01
| Facility | | $23,442.29 | $34,673.69 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $28,183.83 / $41,686.94
| Facility | | $16,218.10 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $38,018.94
| Facility | | $15,488.17 | $25,703.96 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $30,199.52 / $50,118.72
| Facility | | $4,073.80 | $30,199.52 | $50,118.72 |