- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $37,153.52 / $63,095.73
| Facility | | $23,988.33 | $37,153.52 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,902.95 / $48,977.88
| Facility | | $21,877.62 | $30,902.95 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,915.35 / $35,481.34
| Facility | | $19,498.45 | $26,915.35 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $31,622.78 / $45,708.82
| Facility | | $19,952.62 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,199.52 / $41,686.94
| Facility | | $22,387.21 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $33,884.42 / $43,651.58
| Facility | | $11,748.98 | $33,884.42 | $43,651.58 |