- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,113.11 / $56,234.13
| Facility | | $22,387.21 | $33,113.11 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,302.68 / $43,651.58
| Facility | | $19,498.45 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $23,988.33 / $30,902.95
| Facility | | $16,218.10 | $23,988.33 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,703.96 / $38,018.94
| Facility | | $16,595.87 | $25,703.96 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,118.86 / $34,673.69
| Facility | | $18,620.87 | $25,118.86 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $30,199.52 / $42,657.95
| Facility | | $10,471.29 | $30,199.52 | $42,657.95 |