- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $31,622.78 / $36,307.81
| Facility | | $20,417.38 | $31,622.78 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $46,773.51
| Facility | | $22,908.68 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $27,542.29 / $40,738.03
| Facility | | $16,218.10 | $27,542.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $37,153.52
| Facility | | $15,488.17 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $32,359.37 / $48,977.88
| Facility | | $4,073.80 | $32,359.37 | $48,977.88 |