- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $47,863.01
| Facility | | $19,054.61 | $28,183.83 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,387.21 / $37,153.52
| Facility | | $16,595.87 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $18,620.87 / $23,988.33
| Facility | | $15,135.61 | $18,620.87 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,988.33 / $35,481.34
| Facility | | $15,135.61 | $23,988.33 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,908.68 / $30,902.95
| Facility | | $16,595.87 | $22,908.68 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $25,703.96 / $35,481.34
| Facility | | $8,709.64 | $25,703.96 | $35,481.34 |