- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $24,547.09 / $31,622.78
| Facility | | $17,378.01 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $21,379.62 / $30,199.52
| Facility | | $14,791.08 | $21,379.62 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $36,307.81
| Facility | | $13,489.63 | $25,703.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,988.33 / $28,840.32
| Facility | | $15,135.61 | $23,988.33 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $21,379.62 / $25,118.86
| Facility | | $21,379.62 | $21,379.62 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $26,302.68 / $36,307.81
| Facility | | $12,589.25 | $26,302.68 | $36,307.81 |