- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $23,442.29 / $33,884.42
| Facility | | $19,054.61 | $23,442.29 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $37,153.52 / $48,977.88
| Facility | | $26,302.68 | $37,153.52 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,199.52 / $42,657.95
| Facility | | $24,547.09 | $30,199.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,199.52 / $40,738.03
| Facility | | $18,197.01 | $30,199.52 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,902.95 / $42,657.95
| Facility | | $18,620.87 | $30,902.95 | $42,657.95 |