- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $41,686.94 / $46,773.51
| Facility | | $30,199.52 | $41,686.94 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $43,651.58
| Facility | | $28,183.83 | $28,183.83 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,904.51 / $51,286.14
| Facility | | $20,892.96 | $38,904.51 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,199.52 / $74,131.02
| Facility | | $19,952.62 | $30,199.52 | $74,131.02 |
- 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 |