- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $21,379.62 / $34,673.69
| Facility | | $17,782.79 | $21,379.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $51,286.14
| Facility | | $26,915.35 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $30,199.52 / $43,651.58
| Facility | | $25,703.96 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,902.95 / $41,686.94
| Facility | | $19,054.61 | $30,902.95 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $43,651.58
| Facility | | $19,054.61 | $28,840.32 | $43,651.58 |