- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,840.32 / $41,686.94
| Facility | | $19,498.45 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,387.21 / $38,018.94
| Facility | | $8,317.64 | $22,387.21 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $23,988.33 / $40,738.03
| Facility | | $17,378.01 | $23,988.33 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $26,302.68 / $38,904.51
| Facility | | $21,379.62 | $26,302.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $37,153.52
| Facility | | $13,489.63 | $25,703.96 | $37,153.52 |