- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $25,703.96 / $38,904.51
| Facility | | $19,952.62 | $25,703.96 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $23,442.29 / $40,738.03
| Facility | | $21,877.62 | $23,442.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,908.68 / $37,153.52
| Facility | | $13,489.63 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $38,904.51
| Facility | | $19,498.45 | $30,199.52 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $30,199.52 / $45,708.82
| Facility | | $16,595.87 | $30,199.52 | $45,708.82 |