- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $35,481.34 / $58,884.37
| Facility | | $23,442.29 | $35,481.34 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,183.83 / $46,773.51
| Facility | | $20,417.38 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $24,547.09 / $30,902.95
| Facility | | $19,498.45 | $24,547.09 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $31,622.78 / $45,708.82
| Facility | | $19,952.62 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,199.52 / $41,686.94
| Facility | | $22,387.21 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $31,622.78 / $44,668.36
| Facility | | $10,964.78 | $31,622.78 | $44,668.36 |