- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $28,840.32 / $58,884.37
| Facility | | $25,118.86 | $28,840.32 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $40,738.03
| Facility | | $15,488.17 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $22,387.21 / $33,113.11
| Facility | | $18,620.87 | $22,387.21 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $17,782.79 / $22,387.21
| Facility | | $14,791.08 | $17,782.79 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $23,988.33 / $38,904.51
| Facility | | $19,054.61 | $23,988.33 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,417.38 / $24,547.09
| Facility | | $15,488.17 | $20,417.38 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $23,442.29 / $28,840.32
| Facility | | $18,197.01 | $23,442.29 | $28,840.32 |