- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $29,512.09 / $45,708.82
| Facility | | $20,892.96 | $29,512.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,118.86 / $38,018.94
| Facility | | $17,378.01 | $25,118.86 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $31,622.78 / $46,773.51
| Facility | | $19,498.45 | $31,622.78 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,915.35 / $42,657.95
| Facility | | $16,982.44 | $26,915.35 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,498.45 / $32,359.37
| Facility | | $12,302.69 | $19,498.45 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $31,622.78 / $44,668.36
| Facility | | $8,709.64 | $31,622.78 | $44,668.36 |