- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $33,884.42 / $45,708.82
| Facility | | $18,197.01 | $33,884.42 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $26,302.68 / $42,657.95
| Facility | | $17,782.79 | $26,302.68 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $36,307.81 / $48,977.88
| Facility | | $17,378.01 | $36,307.81 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $26,302.68 / $53,703.18
| Facility | | $7,079.46 | $26,302.68 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $26,302.68 / $51,286.14
| Facility | | $6,456.54 | $26,302.68 | $51,286.14 |