- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,355.59 / $26,804.60 / $35,230.40
| Facility | | $18,355.59 | $26,804.60 | $35,230.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,377.93 / $19,454.54 / $28,321.86
| Facility | | $19,377.93 | $19,454.54 | $28,321.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,509.49 / $20,451.16 / $34,590.41
| Facility | | $7,509.49 | $20,451.16 | $34,590.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,646.74 / $26,923.71 / $45,064.20
| Facility | | $18,646.74 | $26,923.71 | $45,064.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,088.81 / $30,047.21 / $43,871.38
| Facility | | $23,088.81 | $30,047.21 | $43,871.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,088.81 / $27,932.89 / $43,871.38
| Facility | | $23,088.81 | $27,932.89 | $43,871.38 |