- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,441.59 / $30,095.30 / $34,057.60
| Facility | | $19,441.59 | $30,095.30 | $34,057.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,665.09 / $28,255.52 / $39,853.80
| Facility | | $18,665.09 | $28,255.52 | $39,853.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,940.77 / $27,953.41 / $38,308.26
| Facility | | $17,940.77 | $27,953.41 | $38,308.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,241.38 / $25,651.00 / $36,000.00
| Facility | | $17,241.38 | $25,651.00 | $36,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,781.94 / $46,291.98
| Facility | | $5,274.00 | $34,781.94 | $46,291.98 |