- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,113.11 / $38,904.51
| Facility | | $21,379.62 | $33,113.11 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $50,118.72
| Facility | | $23,988.33 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $32,359.37 / $42,657.95
| Facility | | $19,952.62 | $32,359.37 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $38,904.51
| Facility | | $17,378.01 | $26,915.35 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $34,673.69 / $51,286.14
| Facility | | $4,073.80 | $34,673.69 | $51,286.14 |