- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $34,673.69
| Facility | | $19,054.61 | $26,915.35 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,442.29 / $32,359.37
| Facility | | $15,488.17 | $23,442.29 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $28,183.83 / $38,904.51
| Facility | | $14,791.08 | $28,183.83 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,118.86 / $30,902.95
| Facility | | $15,488.17 | $25,118.86 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $28,183.83 / $38,904.51
| Facility | | $13,489.63 | $28,183.83 | $38,904.51 |