- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,902.95 / $43,651.58
| Facility | | $20,417.38 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $16,218.10 / $26,915.35
| Facility | | $6,025.60 | $16,218.10 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,118.86 / $41,686.94
| Facility | | $18,197.01 | $25,118.86 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,183.83 / $40,738.03
| Facility | | $22,387.21 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $26,915.35 / $39,810.72
| Facility | | $14,125.38 | $26,915.35 | $39,810.72 |