- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,408.50 / $28,342.20 / $37,251.30
| Facility | | $19,408.50 | $28,342.20 | $37,251.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,867.84 / $21,427.11 / $36,241.07
| Facility | | $7,867.84 | $21,427.11 | $36,241.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,428.33 / $28,599.31 / $51,013.09
| Facility | | $20,428.33 | $28,599.31 | $51,013.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,413.23 / $31,770.79 / $46,387.94
| Facility | | $24,413.23 | $31,770.79 | $46,387.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,413.23 / $29,535.18 / $46,387.94
| Facility | | $24,413.23 | $29,535.18 | $46,387.94 |