- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,884.42 / $42,657.95
| Facility | | $23,988.33 | $33,884.42 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $29,512.09 / $40,738.03
| Facility | | $19,498.45 | $29,512.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $35,481.34 / $48,977.88
| Facility | | $18,620.87 | $35,481.34 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $39,810.72
| Facility | | $19,498.45 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $35,481.34 / $48,977.88
| Facility | | $16,595.87 | $35,481.34 | $48,977.88 |