- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $32,359.37 / $40,738.03
| Facility | | $22,908.68 | $32,359.37 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $28,183.83 / $37,153.52
| Facility | | $12,589.25 | $28,183.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $33,884.42 / $46,773.51
| Facility | | $17,782.79 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $12,589.25 / $29,512.09
| Facility | | $2,187.76 | $12,589.25 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $33,884.42 / $46,773.51
| Facility | | $16,218.10 | $33,884.42 | $46,773.51 |