- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,903.30 / $29,064.80 / $38,201.10
| Facility | | $19,903.30 | $29,064.80 | $38,201.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,129.62 / $30,556.92 / $51,265.53
| Facility | | $11,129.62 | $30,556.92 | $51,265.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,949.16 / $29,328.47 / $52,313.71
| Facility | | $20,949.16 | $29,328.47 | $52,313.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,035.67 / $32,580.81 / $47,570.64
| Facility | | $25,035.67 | $32,580.81 | $47,570.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,180.58 / $31,351.99 / $45,191.93
| Facility | | $21,180.58 | $31,351.99 | $45,191.93 |