- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $36,307.81
| Facility | | $19,952.62 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $24,547.09 / $33,884.42
| Facility | | $15,135.61 | $24,547.09 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $29,512.09 / $41,686.94
| Facility | | $15,488.17 | $29,512.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $27,542.29 / $35,481.34
| Facility | | $15,135.61 | $27,542.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $29,512.09 / $41,686.94
| Facility | | $14,125.38 | $29,512.09 | $41,686.94 |