- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $32,359.37 / $36,307.81
| Facility | | $19,952.62 | $32,359.37 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $47,863.01
| Facility | | $21,379.62 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,840.32 / $37,153.52
| Facility | | $18,620.87 | $28,840.32 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $26,915.35 / $38,904.51
| Facility | | $3,715.35 | $26,915.35 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $30,902.95 / $47,863.01
| Facility | | $4,073.80 | $30,902.95 | $47,863.01 |