- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $34,673.69 / $57,543.99
| Facility | | $22,908.68 | $34,673.69 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $27,542.29 / $45,708.82
| Facility | | $19,952.62 | $27,542.29 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $27,542.29 / $35,481.34
| Facility | | $18,620.87 | $27,542.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,902.95 / $45,708.82
| Facility | | $18,197.01 | $30,902.95 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,183.83 / $38,018.94
| Facility | | $19,498.45 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $31,622.78 / $43,651.58
| Facility | | $10,715.19 | $31,622.78 | $43,651.58 |