- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,623.90 / $31,790.30 / $51,672.60
| Facility | | $18,623.90 | $31,790.30 | $51,672.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,670.43 / $26,798.64 / $33,623.48
| Facility | | $18,670.43 | $26,798.64 | $33,623.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,065.98 / $25,258.97 / $39,848.46
| Facility | | $16,065.98 | $25,258.97 | $39,848.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,037.68 / $21,566.04 / $40,188.60
| Facility | | $11,037.68 | $21,566.04 | $40,188.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $26,381.59 / $36,288.41
| Facility | | $6,842.00 | $26,381.59 | $36,288.41 |