- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $27,542.29 / $42,657.95
| Facility | | $19,498.45 | $27,542.29 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $23,442.29 / $35,481.34
| Facility | | $16,218.10 | $23,442.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $29,512.09 / $43,651.58
| Facility | | $18,197.01 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,118.86 / $39,810.72
| Facility | | $15,848.93 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $18,197.01 / $30,199.52
| Facility | | $11,481.54 | $18,197.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $29,512.09 / $41,686.94
| Facility | | $10,471.29 | $29,512.09 | $41,686.94 |