- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $24,547.09 / $31,622.78
| Facility | | $20,892.96 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $25,118.86 / $43,651.58
| Facility | | $10,715.19 | $25,118.86 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $33,113.11
| Facility | | $24,547.09 | $30,902.95 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $29,512.09 / $40,738.03
| Facility | | $22,387.21 | $29,512.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $26,915.35 / $44,668.36
| Facility | | $13,489.63 | $26,915.35 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $38,018.94
| Facility | | $15,848.93 | $24,547.09 | $38,018.94 |