- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $27,542.29 / $36,307.81
| Facility | | $22,908.68 | $27,542.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $26,302.68 / $45,708.82
| Facility | | $11,220.18 | $26,302.68 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $30,902.95 / $45,708.82
| Facility | | $23,442.29 | $30,902.95 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $28,183.83 / $46,773.51
| Facility | | $14,125.38 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,703.96 / $39,810.72
| Facility | | $16,595.87 | $25,703.96 | $39,810.72 |