- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.59 / $25,734.60 / $41,775.40
| Facility | | $17,646.59 | $25,734.60 | $41,775.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,037.45 / $35,594.48 / $45,633.95
| Facility | | $25,037.45 | $35,594.48 | $45,633.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,721.25 / $40,062.61 / $48,019.52
| Facility | | $20,721.25 | $40,062.61 | $48,019.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,411.30 / $27,675.80 / $44,254.70
| Facility | | $18,411.30 | $27,675.80 | $44,254.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,391.89 / $36,819.62 / $55,939.72
| Facility | | $22,391.89 | $36,819.62 | $55,939.72 |