- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $20,417.38 / $35,481.34
| Facility | | $16,218.10 | $20,417.38 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $41,686.94 / $48,977.88
| Facility | | $41,686.94 | $41,686.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $20,892.96 / $33,884.42
| Facility | | $12,302.69 | $20,892.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $35,481.34
| Facility | | $17,378.01 | $27,542.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $27,542.29 / $41,686.94
| Facility | | $15,488.17 | $27,542.29 | $41,686.94 |