- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $37,153.52 / $50,118.72
| Facility | | $19,952.62 | $37,153.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,840.32 / $45,708.82
| Facility | | $19,498.45 | $28,840.32 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $39,810.72 / $54,954.09
| Facility | | $19,054.61 | $39,810.72 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $28,840.32 / $58,884.37
| Facility | | $7,079.46 | $28,840.32 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $28,840.32 / $57,543.99
| Facility | | $6,456.54 | $28,840.32 | $57,543.99 |