- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $29,512.09 / $31,622.78
| Facility | | $17,378.01 | $29,512.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,840.32 / $40,738.03
| Facility | | $19,498.45 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,302.68 / $34,673.69
| Facility | | $16,218.10 | $26,302.68 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $24,547.09 / $31,622.78
| Facility | | $18,620.87 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $19,054.61 / $41,686.94
| Facility | | $4,466.84 | $19,054.61 | $41,686.94 |