- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $28,183.83 / $43,651.58
| Facility | | $19,952.62 | $28,183.83 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $23,988.33 / $37,153.52
| Facility | | $16,595.87 | $23,988.33 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,199.52 / $44,668.36
| Facility | | $18,620.87 | $30,199.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,703.96 / $40,738.03
| Facility | | $16,218.10 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,620.87 / $31,622.78
| Facility | | $11,748.98 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $31,622.78 / $42,657.95
| Facility | | $8,709.64 | $31,622.78 | $42,657.95 |