- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,472.20 / $31,355.70 / $41,212.19
| Facility | | $21,472.20 | $31,355.70 | $41,212.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,416.60 / $17,474.83 / $29,556.32
| Facility | | $6,416.60 | $17,474.83 | $29,556.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,812.77 / $31,495.07 / $52,715.64
| Facility | | $21,812.77 | $31,495.07 | $52,715.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,009.05 / $35,148.92 / $51,320.29
| Facility | | $27,009.05 | $35,148.92 | $51,320.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,909.27 / $30,738.37 / $47,914.16
| Facility | | $17,909.27 | $30,738.37 | $47,914.16 |