- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $21,877.62 / $36,307.81
| Facility | | $17,782.79 | $21,877.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $39,810.72 / $53,703.18
| Facility | | $28,183.83 | $39,810.72 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $32,359.37 / $45,708.82
| Facility | | $26,302.68 | $32,359.37 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $43,651.58
| Facility | | $19,498.45 | $32,359.37 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $33,113.11 / $45,708.82
| Facility | | $19,952.62 | $33,113.11 | $45,708.82 |