- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,884.42 / $47,863.01
| Facility | | $22,387.21 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,387.21 / $38,018.94
| Facility | | $8,317.64 | $22,387.21 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $47,863.01
| Facility | | $19,952.62 | $28,183.83 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $44,668.36
| Facility | | $24,547.09 | $30,902.95 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $29,512.09 / $43,651.58
| Facility | | $15,488.17 | $29,512.09 | $43,651.58 |