- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,113.11 / $42,657.95
| Facility | | $23,988.33 | $33,113.11 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $40,738.03
| Facility | | $16,218.10 | $29,512.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $34,673.69 / $48,977.88
| Facility | | $18,197.01 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $38,904.51
| Facility | | $16,218.10 | $29,512.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $34,673.69 / $48,977.88
| Facility | | $16,595.87 | $34,673.69 | $48,977.88 |